CONTRACT PURCHASE AGREEMENT - Application for Payment Summary

All fields marked with an * are mandatory and require a response.

Supplier Name * Cooks Blinds &shutters Ltd
Supplier Contact Name *
Supplier Contact Number 01603 410304
Kier Site / Contract

Line Type * Description * Price * Instruction Task/Job Code* Notes

£0.00
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Supplier Name
Supplier Address
Supplier Contact Name
Supplier Contact Number
Description of Services
Kier Site / Contract
PPM or Reactive Works
Additional Notes

Lines
Line No
Line Type
Description
Quantity
Price

Job Code

Notes
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Enter the supplier Name
Enter the Supplier Address
Enter the Supplier Contact Name
Enter the Supplier Contact Telephone Number
Enter Summary Description of the works
Enter the site and / or Contract details of where the work was undertaken
Enter whether the application is for PPM works or Reactive Works (cannot be a mixed application)
Enter additional notes, if any

Lines
Select the Line Number from Drop Down
Select the Line Type from Drop Down.
Enter the details of the work delivered
Select the Quantity from Drop Down. It should be always 1
Enter the amount
Enter the valid Job Code Number, you should have this information from the contract admin who requested
the service
Enter additional notes, if any
Mandatory
Mandatory
Mandatory
Mandatory
Mandatory
Mandatory
Mandatory
Optional

Mandatory
Mandatory
Mandatory
Mandatory
Mandatory

Mandatory

Optional
By submitting this payment application you agree to KFS T&C's including the CPA's T&C's used to create the purchas
Copy of the CPA T&C's will be available upon request
&C's used to create the purchase order.