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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