INSTRUCTIONS: This request must bear all necessary approval signatures and be complete before it is presented to the Bursar(s Office. Make sure you include sales tax and shipping. Retain a copy for your files. Please note that Trust & Club accounts do NOT have Org & Program numbers. INCORRECT REQUEST FORMS WILL BE RETURNED.

PURCHASE REQUISITION

Fullerton College Bursar(s Office

Fund:

Organization:

Account:

Program:

Account Description:

Requested by:

Date: May 6, 2008

VENDOR INFORMATION:

Name

Address

City, State, Zip

Special Instructions:

_____Will call for PO

_____Will call for check

_____Journal entry

_____Mail PO to vendor

_____Mail check to vendor

Quantity

Description of Article or Service Required

Amount

Sales Tax

Estimated Total

Approvals:

Division Dean:

Date:

Business Office:

Date:

INSTRUCTIONS: This request must bear all necessary approval signatures and be complete before it is presented to the Bursars

dgerard

2008-05-06

NOCCCD