Purchase Order Form - College of Pharmacy

ADVERTISEMENT
Print
Reset
College of Pharmacy 
PURCHASE ORDER FORM 
 
Account Number: _________________________   
 
Quote:__________________ 
 
Account Name: ___________________________ 
 
Date: ____________     
 
 
 
 
 
Date Needed: ____________ 
 
 
VENDOR INFORMATION 
 
Vendor Name: _______________________________ 
ROUTINE 
 
 
 
 
 
 
 
 
Generally delivered within two weeks. 
Address: ____________________________________ 
 
 
 
 
 
 
 
 
EMERGENCY 
City: _________________________
   
 
 
If needed before two weeks. 
 
State/Province: ________________   
Zip/Postal Code: ______________ 
 
 
 
 
 
 
 
 
 
Deliver To 
Phone Number: ______________________   
Bldg # _____    Room # _____    Lab #_____ 
Fax Number: _________________________  
 
 
 
 
 
 
 
Person placing the order _________________________________ 
 
Item # 
Description 
Quantity
Unit Price 
Amount 
 
 
 
 
 
$0.00
 
 
 
 
 
$0.00
 
 
 
 
 
$0.00
 
 
 
 
 
$0.00
 
 
 
 
 
$0.00
 
 
 
 
 
$0.00
 
 
TOTAL 
 
 
$0.00
 
Purpose of Purchase: ____________________________________________________________ 
______________________________________________________________________________ 
 
 
Requested By: ________________________________________ 
 
Authorized By: ________________________________________ 
 
The items requested above are for official University business. 
Note:  Department/Unit Administrative Staff will make a determination  about the mode of purchase  
(E‐purchase or P‐card). 
Print
Reset
College of Pharmacy 
PURCHASE ORDER FORM 
 
Account Number: _________________________   
 
Quote:__________________ 
 
Account Name: ___________________________ 
 
Date: ____________     
 
 
 
 
 
Date Needed: ____________ 
 
 
VENDOR INFORMATION 
 
Vendor Name: _______________________________ 
ROUTINE 
 
 
 
 
 
 
 
 
Generally delivered within two weeks. 
Address: ____________________________________ 
 
 
 
 
 
 
 
 
EMERGENCY 
City: _________________________
   
 
 
If needed before two weeks. 
 
State/Province: ________________   
Zip/Postal Code: ______________ 
 
 
 
 
 
 
 
 
 
Deliver To 
Phone Number: ______________________   
Bldg # _____    Room # _____    Lab #_____ 
Fax Number: _________________________  
 
 
 
 
 
 
 
Person placing the order _________________________________ 
 
Item # 
Description 
Quantity
Unit Price 
Amount 
 
 
 
 
 
$0.00
 
 
 
 
 
$0.00
 
 
 
 
 
$0.00
 
 
 
 
 
$0.00
 
 
 
 
 
$0.00
 
 
 
 
 
$0.00
 
 
TOTAL 
 
 
$0.00
 
Purpose of Purchase: ____________________________________________________________ 
______________________________________________________________________________ 
 
 
Requested By: ________________________________________ 
 
Authorized By: ________________________________________ 
 
The items requested above are for official University business. 
Note:  Department/Unit Administrative Staff will make a determination  about the mode of purchase  
(E‐purchase or P‐card). 

Download Purchase Order Form - College of Pharmacy

320 times
Rate
4.7(4.7 / 5) 19 votes
ADVERTISEMENT