The Research Foundation for the State University of New York
Purchase Requisition
INSTRUCTIONS:
Requisitionsmustbelegibleandcomplete
Remembertoallowampleprocessingtime
Obtainauthorizedsignaturecertifyingreasonablenessandnecessityofpurchase.
ATTACHALLQUOTESSOLICITED
BUSINESSOFFICEUSEONLY
ORPApproval:
Supplier/Payee:
SHIPTOADDRESS
(IfotherthanESFCentralReceiving)
Rec’dDate:
SSNorVendorID: PO#:
Address:
Campus:
NOTE:Authorized Signature certifies that the
items are herein allowable, allocable, reasonable
and necessary for the scientific or programmatic
useoftheprojectcharged.
City:
State:
ZIP:
Address:
Phone:
FAX:
City:
State:
ZIP:
Award: Task: Project: RequisitionedBy: Approved:
FacultyorDepartment
Building: Room: Signature:
550‐ CampusPhone: Date:
ExpType Catalog#
CatalogNumber&CompleteDescription
(IfHazardousitem,PleaseIndicateTypeFromListOnBack)
Quantity Unit UnitPrice
Total
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Shippingchargesmaynotbepaidwithoutthepriorapprovalofsignatory.Pleaseincludeshippingchargeshere.
FAXOrderbyPurchasingOffice
DONOTFAXDeptwillplaceorder
INVOICEATTACHED
TOTAL
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Justification (REQUIRED):
$0.00
$0.00
$0.00
0.00
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