PURCHASE ORDER REQUEST

(version 4/17/09)

Use this form to order items to be charged directly to a university account. In order for the BSO to process request, check first with vendor to ensure their acceptance of University Purchase Orders. This form should NOT be used: for Travel or Entertainment expenses; to request payment for services; or to request reimbursement for misc expenses. The BSO has specific forms for the payment types above; contact us to determine which form should be used.

Requestor Name: Requestor Phone: Requestor Email: Request Date: Requested Due Date: Preferred Method of Shipment: Final Destination (if equipment): Business Purpose of Item(s) to be Purchased:

Requested Vendor: Salesperson: Vendor Phone: Vendor Fax: Vendor E-mail: Payment Address:

Attach quotes, as well as any supporting documentation that will aid BSO in placing your order. Fields below with *--* will calculate automatically.
Description of Item(s) Item/Stock # Quantity Unit Cost *Total Cost* $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ *Subtotal*: $ S&H (if applicable): $ *Sales Tax (@9.75%)*: $ *GRAND TOTAL*: $ -

Account Name/Fund Source: Approval Signature: Date:

BSO INTERNAL USE ONLY Vendor ID# Requisition # Purchase Order # Blu Tag # Blu Bank Ref # Blu Order Date BFS Voucher #

Version 4/17/09

Purchase Order Request

Graduate School of Education