Blank Order Change Form - Excel - Excel

							                                            Saddleback College
                                            Change Order Form


Date:
Division:
Requester:                                                        Extension:
Supervisor:

Requisition #:
Purchase order

                                                                    Old Amount       New Amount        Change
Account Number(s):                                                                                   $      -
                                                                                                     $      -
                                                                                                     $      -
                                                                                                     $      -

                                        Total:                     $          -       $        -     $     -




Description:




Important: E-mail Completed Form to Dean/Director with a copy to all approvers of the Requisition.
The Dean/Director will forward the Change Order to District Purchasing.
                                           Irvine Valley College
                                            Change Order Form


Date:                     3/12/2007
Division:                 Division A
Requester:                John Smith                               Extension:              4566
Supervisor:               Nancy Jackson

PO #:                    P07-123456                                Requisition #:
(used for blanket or standard requisitions)                        (used for direct pay requisitions)

                                                                    Old Amount        New Amount          Change
Account Number(s):        01-4600-0-000-4-036-000-6099              $ 12,222.00        $ 12,222.00      $      -
                          01-6410-0-000-4-036-000-6099              $    222.00        $ 555.00         $ 333.00
                          01-6410-1-225-4-036-000-6099              $    333.00        $ 444.00         $ 111.00
                          01-4600-1-074-4-036-000-6099              $    666.00        $ 555.00         $ (111.00)

                                        Total:                      $   13,443.00      $ 13,776.00      $   333.00




Description:            To provide additional coverage for event ABC, based on additional
                        information received from XYZ.




Important: Do not send the Form to District Purchasing. E-mail Completed Form to the IVC Director
of Fiscal Services with a copy to all approvers of the PO. IVC Fiscal Office will forward the Change
Order to District Purchasing.