HomeMy WebLinkAboutPurchase OrderRequisition No.: R a'l 5 aO-15
Vendor Name 'T-_n o r ax� Cat C o rru n u, n Purchase Order No.: P A'71 a 000
Change Order Request No.: 1 Change Order Request Date: Sj 1510.7
Dept/Div: 0 JQZA i- Contact Person: FAiQ-
-41
REQUEST THE FOLLOWING CHANGE TO THE ABOVE PO ("X" THE APPLICABLE BOXES)
Unit Price:
Item No: �_ From: $ 5 d4 0 Q6 To: $ I Ot 50b574
Item No: From: $ To: $
Item No: From: $ To: $�
Order Quantity:
❑
Item No: From: To:
Item No: From: To:
Item No: From: To:
0
Add Item:
111
Item No: Qty: UOM: Unit Price: $
Description of Item: Commodity No:
Account No: Location Code:
Item No: Qty: UOM: Unit Price: $
Description of Item: Commodity No:
Account No: _ - . _ Location Code:
--------- --------------
Unit Price: $
Commodity No:
Account No: Location Code:
Qty: UOM:
Cancel Purchase Order (only if entire order has and will not be received):
-� Reason:
Close Out Purchase Order:
Item No:
From: $
To: $_•
�❑
Item No:
From: $
To: $•'
Item No: _
From: $
To: $'•
Item No:
From: $
To: $'•
This should be the total
amount of all Invoices against this item.
_
Other Changes:
11
REASON FOR CHANGES (TO BE COMPLETED BY REQUESTING DEPTIDM:
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