Purchase

Customer Number:
Order
SHIP FROM: Delivery needed by:
PO Number:
SHIP TO: Sales Rep:
Ship Method:
Buyer:
DELIVERY IINSTRUCTIONS: Terms:
ITEM QUANTITY DESCRIPTIO COUNT PER UNIT PRICE TOTAL
N UNIT

TOTAL: S/H: TAX:

FINAL TOTAL:

NOTES:

SIGNATURE:
TITLE:
DATE:
Texas Tech University
 Department of Chemistry and Biochemistry
Receiving Report

Purchase Order No.

Vendor Name Shown

Purchase Order

Account No. Account Name

Item Description Qty. Unit Condition Acceptable

No. Unless Indicated
Otherwise

I certify that the goods and/or services described above have been

received as shown. Unless noted otherwise, all items are

satisfactory and due for payment. INSTRUCTIONS:

Please staple the Packing Slips to the Receiving Report and take them to the
Business Office (Room203) on the same day that the shipment arrives.

Signature in ink by authorized person

Date Received