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SAN DIEGO COMMUNITY COLLEGE DISTRICT

Purchasing and Contract Services

3375 Camino del Rio South Suite 270

San Diego, California 92108

619.388.6562

Fax 619.388.6893

TO: PurchasingandContractServices

FROM:DEPT:

DATE:

RE: Confirmation/RequestforRemittance RequisitionNo.  





ProcurementofmaterialsandservicesoftheDistrictistheresponsibilityforthePurchasingand

ContractServicesDepartment.Exceptinanemergency,wherehealthandsafetyareatrisk,District

personnelarenotauthorizedtocommitwithsuppliers,contractorsorconsultantsforthepurchaseof

goodsorservices.Ifanorderisplacedwithoutapurchaseorder,theDistrictisnotobligatedto

provideremittance.Thefollowinginformationandremediationplanisnecessarybeforeremittance

canbeconsidered.



1. Thereason(s)properpurchasingpoliciesandprocedureswerenotfollowed:



2. Detailsoftheemergencyrequiringthepurchasepriortoobtaininganauthorizedpurchase

order:



3. Whatmeasureswillbetakentoavoidasimilarcircumstancefromreoccurring?



4. Ifserviceswereperformed,whatwerethetermsofthecommitment;whendidtheservice

beginandend,howwasthepricingnegotiatedandevaluated?



5. Attachedcopiesofalldocumentationtothismemo;including,invoice,packingslip,proofof

delivery,andacopyoftherequisition.



NOTE:Submissionofthisrequestdoesnotguaranteeapprovalofremittance



Requestedby__________________________________________ Date:____________

(RequestorSignature)



Approvedby___________________________________________ Date:____________

(Dean/DirectorApproval/Signature)



Approvedby___________________________________________ Date:____________

(VicePresidentApproval/Signature)



PURCHASING DEPARTMENT USE ONLY

Buyer: Date Received:

Req. No.: PO:

W-9 on file (Y/N)

Approved By: Date:



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SAN DIEGO COMMUNITY COLLEGE DISTRICT (San Diego Mesa College)

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