Purchase Order Authorization Form

REQUESTED BY DATE:
(Purchase Order #)

VENDOR NAME PHONE:

PROJECT / PURCHASED FOR:

ITEM DESCRIPTION QUANTITY UNIT PRICE TOTALS

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
TOTAL PURCHASE ORDER PRICE 0.00

AUTHORIZATION IF COST IS BETWEEN $1,000.00 - $5,000.00

PARTNER NAME (Printed) SIGNATURE DATE

AUTHORIZATION IF COST EXCEEDS $5,000.00

PARTNER NAME (Printed) SIGNATURE DATE