THE SCHOOL DISTRICT OF SEMINOLE COUNTY, FL

REQUEST FOR PURCHASE ORDER

Must be submitted for approval prior to any purchase.
If over $1,000 attach 1 written quote, if over $10,000 attach 3 written quotes.

Phone: Fax:
Request Date: Requested By:
Reason for Purchase:

Circle One: Internal Funds Internal Pcard Internal Warehouse District Funds District Pcard District Warehouse

Account Name: Account #/Cost Strip:

Vendor Name: Special Instructions:

Address:
City, State, Zip:
Phone:
Fax/Email:

Item# Item Description and Specifications Quantity Unit Price Total

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
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
0.00
Bid Information (If applicable) : Discount- 0.00
Subtotal 0.00
$ 0.00
Check if Taxable Tax 7% 0.00
Shipping/Handling 0.00
Total 0.00
$ 0.00

Requestor Signature Date Bookkeeper Verification

Administrator Approval Date

CLEAR FORM