Associated Student Body Purchase Order Request

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ASSOCIATED STUDENT BODY
*
PURCHASE ORDER REQUEST
ALL PURCHASES AND REIMBURSEMENTS REQUIRE AN APPROVED P.O. NUMBER
Instructions: Please print or type!
This form is used to request a purchase order, refund or transfer of funds.
:
_____________________________
Date
Check One:
Payee:
___________________________________
Purchase Order
Address:
___________________________________
Refund
City, State, Zip: ___________________________________
Transfer of Funds
From_____________________
To_______________________
Club or Class:
____________________________________
Expense Account Number:
____________________________________
Purchase Order Amount:
$___________________________________
Description of Purchase:
____________________________________
_________________________________________________________________
_________________________________________________________________
Mail P.O. to Vendor/Individual
Fax P.O. to Vendor/Individual – Fax Number____________________
Return P.O. to Advisor
________________________________________________
__________________________________________
Student Representative Signature
Advisor’s Signature
________________________________________________
Principal’s Signature (Only for ASB & General Athletics)
___________________________________________
_____________________________________
ASB Treasurer
ASB Activities Director
Approved
Denied
___________________________________________
ASB Financial Coordinator
Date:__________________

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