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PurchaseOrderRequest

This document is a Purchase Order Request Form that requires detailed vendor information, including name, address, and contact details, as well as item specifics like quantity and pricing. It outlines the necessary steps for completion, including the need for approval from a budget manager who cannot be the same as the vendor. The form also includes sections for internal tracking and budget coding through a FOAP system.

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Dheresa Ligaba
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29 views

PurchaseOrderRequest

This document is a Purchase Order Request Form that requires detailed vendor information, including name, address, and contact details, as well as item specifics like quantity and pricing. It outlines the necessary steps for completion, including the need for approval from a budget manager who cannot be the same as the vendor. The form also includes sections for internal tracking and budget coding through a FOAP system.

Uploaded by

Dheresa Ligaba
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PURCHASE ORDER REQUEST FORM


RQ NUMBER

PURCHASING BANNER ID NUMBER


(585) 385-8049 (Purchasing use only)

VENDOR NAME DATE


ADDRESS BANNER FOAP
CITY, STATE, ZIP
PHONE NUMBER
EMAIL ADDRESS DATE REQUIRED

QUANTITY DESCRIPTION UNIT PRICE TOTAL PRICE

TOTAL →

REQUESTOR APPROVER
NAME NAME
Print Print
APPROVER
P O NUMBER
P.O. NUMBER SIGNATURE
Assigned by Purchasing Date

INSTRUCTIONS
Please print legibly and complete the entire form. “On File” is not an acceptable response, even if the vendor has been used in the past.
VENDOR NAME, ADDRESS, CITY, STATE, ZIP, PHONE NUMBER, and EMAIL ADDRESS:
• The vendor name, complete mailing address, telephone number, and email address are ALL required.
If there is more than one address for this vendor, then indicate the address where the purchase order is to be sent.
• If the vendor is an individual, the person’s legal name must be provided with middle initial, i.e. William E. Smith (not Bill Smith).
RQ NUMBER:
• Optional. RQ Number can be assigned by departments for their internal use and purposes.
BANNER ID NUMBER:
• Not required. Banner ID number associated with this vendor and used by the Purchasing Department.
DATE:
• Date of the request.
BANNER FOAP:
• Provide complete FOAP (Fund, Org, Account, and Program) to be charged for the total amount listed above.
If more than one FOAP is appropriate, then individually list each complete FOAP and the amount to be charged.
DATE REQUIRED:
• Date by which delivery is needed.
QUANTITY, DESCRIPTION, UNIT PRICE, and TOTAL PRICE
• For each item provide quantity, a complete description and the unit price.
• Complete and attach all documentation necessary to support ordering the items listed. Quotes clearly indicating the purchase are appreciated.
REQUESTOR NAME
• Person requesting the Purchase Order.
P.O. NUMBER:
• Purchase Order Number is assigned by Purchasing Department.
APPROVER NAME, SIGNATURE and DATE
• The Budget Manager (person responsible for each FOAP) must print their name, sign, and date the form indicating their approval of this request.
The Vendor and the Approver cannot be the same person.
Form PORF 201802

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