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Material And Services Requisition Form

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SUNY at STONY BROOK

MATERIAL AND SERVICES REQUISITION/VOUCHER

DEPARTMENT:

ACCOUNT DIRECTOR:

INVOICE #

Service Unit

ACCOUNT DIRECTOR'S ADDRESS:

INVOICE DATE:

Service Unit

REQUESTOR'S NAME:

TELEPHONE NO:

DELIVERY ADDRESS:

INSTRUCTIONS

Enter all information requested (including Charge Account information) and obtain signatures of authorized official or project director. The approval of the authorized

signatory means that State and Research Foundation accounts will be charged on the basis of this completed form.

All Users

- Send all copies directly to the Service Unit. A copy will be returned to the department/project director after completion of work.

Service Units

- Enter actual cost after work or service is finished, complete summary of charges and forward to the appropriate Business Office. Requisitions

for charges to Research awards must be forwarded to OGM for approval of the expenditure. OGM will forward approved requisitions to Accounting for payment.

Date ______________________

MS000001

References or

Est.

Total

Materials or Services Requested and Special Instructions

Quant.

Price

(Completed by Service Unit)

(Estimated)

Category No.

INVOICE AMOUNT