Requisition for Purchasing Materials or Requesting Services
This requisition may be placed on bids or another vendor used. One vendor for each requisition.
Please provide a complete description of each item. Complete each Category as precise as possible.
Please specify the purpose and where each item will be utilized.
Vendor
Address
Phone
Fax#
FEI#
Department
Date Req Submitted
Requested Delivery Date
Requested By
Order will be placed by:
Department/Requisition Originator
or the Business Office
Quantity
Description / Explanation
Unit Price
Total
Total
Order Placed:
Date
By
1. Dept Chairperson
2. Business Office
3. Vice President
4. President
PO #
AO #
Ven #
Purchase Order:
Date:
By
Mailed
Phoned
Faxed
For Business Office Use Only
ACCOUNT
OBJECT
AMOUNT
Balance in Budget
Total Requistition
Remaining Balance
Approved:
_________________
________________
_
___________________
___________________
_
_______________
_______________
_______________
_________________________________________________________
_________________________________________________________
____________________
____________________
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¨
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0