Capital Budget SAMPLE
Specific Department
IT
FY 2022
PROPOSED
QUARTER
OF
PURCHASE
ITEM
REQUESTED PURPOSE
/
USE ITEM
COST INSTALLATION TOTAL
COST 1st 2nd 3rd 4th
Example:
Server Data
storage/
Research
$ 2,75,000
$ 3,00,000 X
TOTALS $ 2,75,000
$ 25,000
$ 3,00,000
Submitted
by:
Richard
Karban
Approved
by:
Date
:
05-06-2022
Date
:
$ 25,000
