Purchase Requisition Form
UNIVERSITY OF THE VIRGIN ISLANDS Department Head Number Distribution: No. WHITE — Purchasing YELLOW — Department PURCHASE REQUISITION Page of Recommended Vendor(s): Department Requisition Number Date Required Delivery Date DELIVER TO For Purchasing Office Use Only ; Location Attention: For Purchasing Office Use Only YES NO Bids ? C7 fo Quotations ? fo | Vendor Number Confirming: Phone (| Ship Via Wire £7 \checked By FOB Point Other LT] | Purchase U5. Fon Date Order No. [Terms: _ Not Confirming ai . - item Unit of Description Est. Unit Estimated No. Quantity Measure iGive complete & detailed Specifications} Price Total intended Use ESTIMATED TOTAL ———— Name of Department To Be Charged This [J One Yr lam Budget |_!ndex Fund Oran | Account Prog Requisition fi 6 mos One time Code an Covers Our : aa) Purchase Need For: £] 3mos. urenas Account Name. For Accounting Use Only Requisitioned By Approved Budget Approval: i PP Encumbrance
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UNIVERSITY OF THE VIRGIN ISLANDS Department Head Number Distribution: No. WHITE — Purchasing YELLOW — Department PURCHASE REQUISITION Page of Recommended Vendor(s): Department Requisition Number Date Required Delivery Date DELIVER TO For Purchasing Office Use Only ; Location Attention: For Purchasing Office Use Only YES NO Bids ? C7 fo Quotations ? fo | Vendor Number Confirming: Phone (| Ship Via Wire £7 \checked By FOB Point Other LT] | Purchase U5. Fon Date Order No. [Terms: _ Not Confirming ai . - item Unit of Description Est. Unit Estimated No. Quantity Measure iGive complete & detailed Specifications} Price Total intended Use ESTIMATED TOTAL ———— Name of Department To Be Charged This [J One Yr lam Budget |_!ndex Fund Oran | Account Prog Requisition fi 6 mos One time Code an Covers Our : aa) Purchase Need For: £] 3mos. urenas Account Name. For Accounting Use Only Requisitioned By Approved Budget Approval: i PP Encumbrance