Sabsc Purchase Order Form
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2SABSC PURCHASE ORDER
Form
PRINT CLEARLY OR TYPE, SEE PAGE 2/BACK OF FORM FOR INSTRUCTIONS
Today’s Date: _______/_______/_______
Chartstring Name: _______________________________________________________________________________
Contact Person: _____________________________________ Title: _______________________________________
Phone: ____________________________________________ E-Mail: _____________________________________
Chartstring:
Dept ID
Fund
Fund Source
Program
Function
Property
Account (SABSC use)
Event Name: ____________________________________________________ Event Date: ______/_____/________
Who placed the order from your RSO? ______________________ Vendor Associate Name: ___________________
Shipping address: _______________________________________________________________________________
Total Purchase Order Amount: $ _______________________
Send Purchase Order To: ________________________________________________________________________
Address: _____________________________________________________________________________________
City, State, Zip: ____________________________ Phone: ___________________Fax: _______________________
BC Vendor ID #: ___________________________
Provide the Vendor ID # above. The request will be returned if the Vendor cannot be found
To obtain a BC Vendor ID #, the vendor must complete a W-9 Form located at:
Mail or fax W-9 Form directly to Accounts Payable at: 617)552-0661
Approvals:
st
1
Authorization (Print): _______________________________Sign: ___________________ Date: _______________
nd
2
Authorization (Print): ______________________________ Sign: ___________________ Date: ______________
------------------------------------------------------------------- For SABSC Use Only -----------------------------------------------------------
Comments:
_____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________
Purchase Requisition #:________________________ SABSC STAFF: __________________Date: ________________
Purchase Order (PO) #: _____________________________________________________ Date: ________________
Reconciled to PeopleSoft By: _________________________________________________ Date: ________________
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Parent category: Business