Version 1.0.

0, 2/6/2021

Amazon Purchase Requisition Form

(Approval Signatures Requested)

Requester Information:
Full Name: Phone:
Email: Date:
Address:
Purchase Options: (Must select ONE of the following five (5) options)
(1) (Option 1) Gifts for Client: ☐ Yes ☐ No Purpose:

Client name: Client email and/or phone:

Amount of Gift: Message of Gift:

Delivery method: ☐ By email: ___________________________________________________________________________

☐ By mail: ____________________________________________________________________________

(2) (Option 2) Gifts for Employee: ☐ Yes ☐ No Purpose:

Employee name: Employee email and/or phone:

Amount of Gift: Message of Gift:

Delivery method: ☐ By email: ___________________________________________________________________________

☐ By mail: ____________________________________________________________________________

(3) (Option 3) Office Supplies: ☐ Yes ☐ No Purpose:

Recipient name: Recipient email and/or phone:

Amount of order: Order Information:

Delivery method: ☐ By mail: ____________________________________________________________________________

☐ Other: ___________________________________________________________________________

(4) (Option 4) Computer and Electronics: ☐ Yes ☐ No Purpose:

Recipient name: Recipient email and/or phone:

Amount of order: Order Information:

Delivery method: ☐ By mail: ____________________________________________________________________________

☐ Other: _____________________________________________________________________________

(5) (Option 5) Others: ☐ Yes ☐ No Purpose:

Recipient name: Recipient email and/or phone:

Amount of order: Order Information:

Delivery method: ☐ By email: ___________________________________________________________________________

☐ By mail: ____________________________________________________________________________
☐ Other: _____________________________________________________________________________

Total Amount of Requested Purchase: $ ________________________________

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Approvals and Signatures

I hereby certify that the above purchase is taken for the purpose indicated; and that the reference accounting is accurate.

Requester Signature Requester Title Date

I, the requester’s supervisor, certify that this account has been examined and, to the best of my knowledge and belief, the purchase
requested therein is necessary for the claimed purpose.

Supervisor Signature Supervisor Title Date

I certify that this claim is correct and just, and payment is approved using designated account.

Authorized Signature Title Date

Note:
ZBeats LLC maintains the accounting records on the accrual basis in accordance with Accounting Principles Generally
Accepted in the United States of America (U.S. GAAP). The Company will maintain an adequate accounting system with
internal controls to allow for reliable financial reporting, compliance with 2CFR Part 200, and is effective in preventing
and detecting errors and fraud and protects the Company’s physical and intangible resources.

Instructions:
Use this form for approval of purchase through the Amazon Business Account.

1. All sections must be completed.

2. Please submit this form with all signatures to Administrative Office: admin@zbeats.co.