Hard Copy Submission: 1. Print a blank copy, complete required info., copy and forward to Dept. Head.2. Dept. head approves, copies, and forwards to Princ/Mgr.3. Princ./Mgr approves, copies and forwards to to Purch. Dept.

Electronic Submission:1. Save your completed requisition to your computer with title you can identify.2. Email to your dept. head. (Choose "Novell Default Setting" when prompted for profile.) 3. Dept. head will forward to Princ/Mgr who will in turn forward to Purch. Dept.

REQUISITIONRegular ROP VEA

Budget NumberFund - Resource - Yr- Obj - SubOb j- Goal - Function - Dist Def - Locationxx - xxxx - x - xxxx - xx - xxxx - xxxx - xxxx - xxx

WHEN APPROVED, a Purchase Order will be issued. Requisition must be completed and routed to Department Head and/or Supervisor for approval. Approved Requisitions must be routedto the District Business Office for Purchase Order Processing. The PINK copy of the Purchase Order will be returned to the originating Department.

Quantity Catalog Number Complete Description Unit Price Total Price

Subtotal

Estimated Shipping(If unknown, use 10% of subtotal)

Estimated Grand Total

Employee Requesting Purchase

Department

Department Approval Principal/Manager Approval CBO Approval

Name of Vendor

Contact

Mailing Address

City/State/Zip

Telephone

FAX

Email Address

Related Website

To be purchased from:

Date Requested

DateDateDate

District-assigned PO#__________________

Prior Bal. New Bal.

Tax Rate(8.75% unless otherwise indicated, 0 for No Tax)

shsTypewritten TextRevised 8/2013 DV

shsTypewritten TextThis is NOT a Purchase Order.

shsTypewritten Text

shsTypewritten Text

shsTypewritten Text

Catalog Number, Row 1: Complete Description, Row 1: Catalog Number, Row 2: Complete Description, Row 2: Catalog Number, Row 3: Complete Description, Row 3: Catalog Number, Row 4: Complete Description, Row 4: Catalog Number, Row 5: Complete Description, Row 5: Catalog Number, Row 6: Complete Description, Row 6: Catalog Number, Row 7: Complete Description, Row 7: Catalog Number, Row 8: Complete Description, Row 8: Catalog Number, Row 9: Complete Description, Row 9: Catalog Number, Row 10: Complete Description, Row 10: Catalog Number, Row 11: Complete Description, Row 11: Catalog Number, Row 12: Complete Description, Row 12: Employee Requesting Purchase: Subtotal: 0Department: Estimated Grand Total: 0Date: Date_2: Date_3: District-assigned PO: Quantity Row 1: Unit Price Row 1: Total Price Row 1: 0Quantity Row 2: Quantity Row 3: Quantity Row 4: Quantity Row 5: Quantity Row 6: Quantity Row 7: Quantity Row 8: Quantity Row 9: Quantity Row 10: Quantity Row 11: Quantity Row 12: Unit Price Row 2: Unit Price Row 3: Unit Price Row 4: Unit Price Row 5: Unit Price Row 6: Unit Price Row 7: Unit Price Row 8: Unit Price Row 10: Unit Price Row 11: Unit Price Row 12: Total Price Row 2: 0Total Price Row 3: 0Total Price Row 4: 0Total Price Row 5: 0Total Price Row 6: 0Total Price Row 7: 0Total Price Row 8: 0Total Price Row 9: 0Total Price Row 10: 0Total Price Row 11: 0Total Price Row 12: 0Unit Price Row 9: Tax Rate: .08Tax: 0Date Requested: Budget 1: Budget 2: Budget 3: Budget 4: Prior Bal 1: Shipping: Prior Bal 2: Prior Bal 3: Prior Bal 4: New Bal 1: New Bal 2: New Bal 3: New Bal 4: Vendor: Contact: Mailing Address: City/State/Zip: Phone: Fax: Email: Website: Print: Regular: OffROP: OffVEA: OffSubmit To Supervisor: