agronomy department purchase form - Department of Horticulture
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HORTICULTURE DEPARTMENT PURCHASE FORM
Off-Campus Purchase Requisition Office Use ONLY
Class Code:
ISU Credit Card Purchase Reallocated:
Pcard holder Approved:
Encumbered
Date Web Req #
Fund Account PO #
Authorized Signature for Acct
Vendor Name
Address1 Phone
Address2 Fax Number
City, State
Item Qty Unit Catalog No / Description Unit Cost Ext Cost
1
2
3
4
5
6
7
8
9
BUSINESS PURPOSE
Why item/service is being purchased:
How/Where it will be used:
HOSPITALITY INFORMATION
Date of Event Location of Event
Names of ISU Employees (include grad students):
Names of Non-ISU Employees (include undergrad students):
1/21/2011
Business purpose/Justification (the Why) examples
To prevent grant expenditures from being disallowed, Auditors reviewing vouchers,
purchase card receipts, etc. must be able to find:
WHAT was purchased
WHERE it was purchased
WHO purchased it
WHY it was purchased
Item purchased WHY
X-Gluc 5-Bromo-4chloro-3-indolyl
B-D-glucuronic acid - 500mg Chemicals for Madan Bhattacharyya's lab for soybean
cyclohexylamine salt research on this project
Seed Storage envelopes Storage of research samples on this project
For Matt Liebman's research project, seed bank soil
Solo plastic 16 oz containers sample collection at Marsden Farm
Glyphosate (2x2.5) Chemicals for the kura clover living mulch systems project
Software to submit Research publications to sponsor on
Adobe Acrobat, version 6 this project
professional development for X person- describe
North Central Weed Science relationship of membership/publication to project or how
Society membership/publications beneficial to project.
Lowe's - slip joint repair of grain trailor at McNay Farm
Crop Science Society newsletter Ad placed in CSA news to hire postdoc on this project
NBA-ASA meeting On-line registration to present invited paper on this project
letterhead envelopes Office supplies for Department Chair
AGRONOMY DEPARTMENT PURCHASE FORM
Off-Campus Purchase Requisition - please fill in all items in "Red" and "Green"
Requisitions are not purchase orders. Departments should not, under any circumstance, fax a requisition to
a vendor. Doing so compromises the University's legal position should a subsequent shipment be unsatisfactory.
ISU Credit Card Purchase - please fill in all items in "Red" and "Blue" ----- TAX EXEMPT)
ISU Credit Card Purchase ($2,000 transaction limit including all delivery, and or handling charges)
CREDIT CARD RECEIPTS - Original Receipts are due to the Agronomy Accounting Staff, 2013 Agronomy Hall following receipt of purchase for processing. An
acceptable receipt must include: 1. Vendor name, 2. Amount, 3. Date, and 4. Itemized description of item(s) purchased. Note: If the procurement card receipt includes
only the total purchase amount, attach the detailed receipt, packing slip with detail information, or invoice. If an itemized receipt is not available, please note what items
were purchased. If efforts to obtain a receipt are unsuccessful, a signed memo may be substituted. The memo should include all of the same information listed above that
would have been on an acceptable receipt. INVOICES - Must be sent to the cardholders department directly. Please advise vendors not to send such documentation to the
Purchasing department. If sales tax has been charged on the receipt, the cardholder should contact the vendor for a credit. The cardholder must resolve any discrepancies
between the amount billed and the receipt. Note the reason for the discrepancy on the receipt and who was contacted to resolve the discrepancy.
Date 02/16/2004 P-Card Holder
Major Prof. / PI John Doe Phone 111-1111
Ship To 1234 Agronomy Hall Attention Mary Smith
Vendor Name Lab Research Products, Inc. Attention
Address1 P.O. Box 8505
Address2 Fax Number * 888-880-1111
City, State Lincoln, NE 68501
Lab/Research
** Business Purpose of purchase/Justification ( why / ) :
to replace existing equipment in Room 1111 that is no longer working
Item Qty Unit Catalog No / Description Unit Cost Ext Cost
001 2.00 ea #ES-315, Tomy portable autoclave 4,826.00 9,652.00
002 2.00 ea #ES-987, 11" x 2" basket 237.50 475.00
003 2.00 ea #ES-852, Shelf for basket 76.00 152.00
004
005
006
007
008
009
010
Agronomy Accounting Office Information ONLY Fund Account Amount
Class Code: 123-45-67-89-0000 10,279.00
VLDR: Total
APPR: 10,279.00
2/19/2004
AGRONOMY DEPARTMENT PURCHASE FORM
Off-Campus Purchase Requisition - please fill in all items in "Red" and "Green"
Requisitions are not purchase orders. Departments should not, under any circumstance, fax a requisition to
a vendor. Doing so compromises the University's legal position should a subsequent shipment be unsatisfactory.
ISU Credit Card Purchase - please fill in all items in "Red" and "Blue" ----- TAX EXEMPT)
ISU Credit Card Purchase ($2,000 transaction limit including all delivery, and or handling charges)
CREDIT CARD RECEIPTS - Original Receipts are due to the Agronomy Accounting Staff, 2013 Agronomy Hall following receipt of purchase for processing. An
acceptable receipt must include: 1. Vendor name, 2. Amount, 3. Date, and 4. Itemized description of item(s) purchased. Note: If the procurement card receipt includes
only the total purchase amount, attach the detailed receipt, packing slip with detail information, or invoice. If an itemized receipt is not available, please note what items
were purchased. If efforts to obtain a receipt are unsuccessful, a signed memo may be substituted. The memo should include all of the same information listed above that
would have been on an acceptable receipt. INVOICES - Must be sent to the cardholders department directly. Please advise vendors not to send such documentation to the
Purchasing department. If sales tax has been charged on the receipt, the cardholder should contact the vendor for a credit. The cardholder must resolve any discrepancies
between the amount billed and the receipt. Note the reason for the discrepancy on the receipt and who was contacted to resolve the discrepancy.
Date 02/16/2004 P-Card Holder Mary Davis
Major Prof. / PI Phone
Ship To Attention
Vendor Name Hewlett Packard Attention
Address1
Address2 Fax Number *
City, State
Lab/Research
** Business Purpose of purchase/Justification ( why / ) :
replace broken part on machine in Room 1111
Item Qty Unit Catalog No / Description Unit Cost Ext Cost
001 1.00 ea 1234-5678 Standard flow cell kit 194.00 194.00
002
003 1.00 ea shipping 20.00 20.00
004
005
006
007
008
009
010
Agronomy Accounting Office Information ONLY Fund Account Amount
Class Code: 123-45-67-89-0000 214.00
VLDR: Total
APPR: 214.00
2/19/2004
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Lab/Research
Office
Registration
Reprints - Research publications
Research
Teaching
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