PURCHASES REQUIRING PRIOR APPROVAL (online,p-card,PIPs)

(Form used for approval. Expenses to be transferred or redistributed to appropriate account as necessary.)

VENDOR
Name: Address: Web Address: Phone: Fax: ( ( ) ) Date:

NOTE: If form is completed using EXCEL Total Cost and Grand Total Cost are formula driven. DESCRIPTION OF ITEM # PURCHASE # Needed Cost/Unit

TOTAL COST

Shipping/Handling Miscellaneous Grand Total Cost $0.00

Requestor:

Administrator:

Print Name

Ext.

Print Name

Department

Room

Account to Charge

Account to be Credited (if applicable)

Requestor Signature (If 02 Acct/04 Non-research)

Acct Admin Signature (If 02 Acct/04 Non-research

PI or Designee Signature (If 05 Grant or 04 Indirects)

Acct Admin Signature (If 05 Grant/04 Indirects)