Ad 700 Procurement Order
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1TO: (Procurement Office)
1. REQUESTING OFFICE
PROCUREMENT REQUEST
INSTRUCTIONS: Agencies must provide
entries in unshaded areas.
See reverse.
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1A. PROCUREMENT REQUEST NO.
RECEIVING
CONTRACT
ORDER
UNIT
FUND
PURCHASE/DELIVERY
SUB.
OFFICE NO.
NUMBER
DATE
CODE
CODE
ORDER NUMBER
(If A
li
bl )
1B. DATE
CHECK ONE
10. TO: (Seller)
11. SHIP TO: (Consignee and Destination)
Purchase
Order
Delivery
Order
INSIDE DELIVERY REQUESTED
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20
LINE
ACT.
BUDGET
ACC.
UNIT
DESCRIPTION
QUANTITY
UNIT PRICE
AMOUNT
ITEM
CODE
OBJECT
LINE
ISSUE
For addiional information, Please contact:
TECHNICAL CONTACT
TELEPHONE NO.
21 FOB POINT
22 DISCOUNT TERMS
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Sub-Total
23 REQUIRED DELIVERY
23A NEGOTIATED DELIVERY
24 SHIP VIA
26 ESTIMATED FREIGHT
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(Do not
TOTAL
use ASAP)
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29 ACCOUNTING CLASSIFICATION
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ACC.
A
B
C
D
E
DISTRIBUTION
AMOUNT
5
10
5
3
4
1
4
1
2
LINE
RECOMMENDED SOURCE(S) (If necessary, use attachment)
I certify that the above items are necessary for use in the public service.
TITLE
SIGNATURE OF AUTHORIZED REPRESENTATIVE
AD-700 (4/82)
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Parent category: Financial