PO Form

PORequisitionForm.xlsx

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WATER AND SEWERAGE DEPARTMENT
PURCHASE ORDER REQUISITION
From:	ACCOUNTS PAYABLE DIVISION
I hereby request that the articles listed are to be ordered by Local Purchase Order and charged to:
Subhead:			Description:
Prepared by:
	Name		Signature			Date
Approved by:
	Director, W&SD		Date
Vendor Name:
Item	Articles			Quantity	Unit	Unit Price	Amount
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
							0.00
TOTAL							$0.00
TO:	DIVISION HEAD,				DIVISION
Please be informed that this request cannot be honored in light of the following:
( )	Insufficient funds under subhead (Dept)
( )	Insufficient funds under subhead (Division)
( )	Other …...	…………………………………….

NAME OF COMPANY
PURCHASE ORDER REQUISITION
From:	ACCOUNTS PAYABLE DIVISION
I hereby request that the articles listed are to be ordered by Local Purchase Order and charged to:
Prepared by:
	Name		Signature			Date
Approved by:
	Director		Date
Vendor Name:
Item	Articles			Quantity	Unit	Unit Price	Amount
TOTAL
TO:	DIVISION HEAD,				DIVISION
Please be informed that this request cannot be honored in light of the following:
( )	Insufficient funds under subhead (Dept)
( )	Insufficient funds under subhead (Division)
( )	Other …...	…………………………………….