Get documents about "360 Modify USU PO
Document Sample
Form 360
V20120202
MODIFY USU BLANKET PURCHASE ORDER REQUEST
VENDOR Task Manager's Name and address:
Name: USU
Address: 4301 Jones Bridge Road
Bethesda, MD 20814
INSTRUCTIONS: Please complete all the required information and e-mail (rquickfountain@hjf.org) or fax (240-694-3130) to
the USU BPO Administrator.
Foreign Travel from sponsored funds requires prior approval from HJF. For all Foreign Travel requests, provide travel
details including name of the traveller, destination, travel dates, purpose of travel and the amount.
The end date is not updated automatically at USU.
DESCRIPTION EXTENDED AMOUNT
Provide following details to MODIFY the existing USU BPO:
HJF Cost Center: Source: ______________________
USU Existing BPO # Award #: _____________________
Issue Date: _____________________
IDC Rate: On ____ Off ____
USU Site # (F or G #)
Task Start Date:
Task End Date:
Amount to be Increased/Decreased:
(if it is a decrease, indicate in parenthesis)
USU Supplies $ 0.00
USU Personnel $ 0.00
USU Domestic Travel $ 0.00
USU Foreign Travel** $ 0.00
USU Stipends $ 0.00
TOTAL AMOUNT OF THE BPO 0.00
Please confirm there are funds available in the appropriate HJF budget line.
_____Yes _____ No. If not, submit a rebudget request form to the HJF Admin Primary.
Provide details for the above request:
Award Project or Task Manager's Signature_____________________________________ Date: _______________
Award Project or Task Manager Designee's Signature: ___________________________ Date: ______________
www.hjf.org
If Signed by Designee, Print Name: _______________________
www.hjf.org
www.hjf.org
www.hjf.org
