UNIVERSITY OF VIRGINIA LPO Number
Limited Purchase Order
valid if less than $5,000.00 Date Ordered
VENDOR NAME/ ADDRESS/ WEB SITE
DELIVERY LOCATION CODE
RESTRICTED ITEMS:
Web Site: DELIVERY DATE
These items may NOT be purchased using this authorization:
Phone:
Payment Terms: Net 30 days
Attn: Alcoholic beverages, ammunition, firearms, prescription
DELIVER TO: Upon Receipt of Invoice drugs, carpet & window treatments, flowers, food, framing,
Charles L. Brown Department of furniture, (any kind), gifts, radioactive materials, renovation/
Electrical and Computer Engineering DEPT REF (OPTIONAL) construction services, security systems or purchases
Thornton Hall, Rm. C222 from an employee of the Commonwealth of Virginia.
351 McCormick Road
P.O. Box 400743 SUMMARY DESCRIPTION / ITEM CATEGORY:
Charlottesville, VA 22904-4743
Attn:
SEND INVOICE TO: Vendor Info: eVA: YES or NO eVA Info Provided: YES / NO
University of Virginia Contract: YES or NO Minority / Women Owned: YES / NO
Procurement Services Accounts Payable
P.O. Box 400197 PTAO - ACCOUNT CODES
Charlottesville, VA 22904-4197 PROJECT# TASK# AWARD# ORG# AMOUNT
SHIPPING CHARGES (pick one)
PICK-UP BY UVA
X UVA PAYS SHIPPING*
VENDOR PAYS SHIPPING
ITEM DETAILED DESCRIPTION # UNIT UNIT PRICE AMOUNT
1
/ / @Virginia.EDU / 434- TOTAL AMOUNT
ORDERED BY SIGNATURE E-Mail TELEPHONE
Gloria R. Walker 434-924-7544
APPROVED BY (mandatory) SIGNATURE TELEPHONE
THIS ORDER VALID ONLY IF AMOUNT IS LESS THAN $5,000.00 PURCHASING COPY
excluding transportation costs revised September 15, 2006
*NOTE: FOR SMALL TO MEDIUM SIZED PACKAGES,
DEPARTMENT PREFERS SHIPMENT WITH UPS or FedEx.