Tree Ring Purchase Order Request Form

Tree Ring Purchase Order Request Form

Date Requested*

Requestor Information

Requestor Name*

(Last, First)

Requestor Email*

Requestor Phone Number*

Phone

Purchase Details

Vendor Name*

Vendor Contact Name

Vendor Contact Email

Sole Source Justification*

Purchases over $25,000 require either a sole-source justification or two additional quotes. You will attach a sole-source memo or the additional quotes below.

Yes

Business Purpose*

Please explain how this purchase benefits the account you are charging.

https://financialservices.arizona.edu/accounting/business-purpose

KFS Account Number*

Sub Account Number (if applicable)

Purchase Total*

Tax Exemption

Do you certify that this single item purchase over $5K is tax exempt?

This purchase will be used for research and development purposes as that term is defined by ARS 42‐5061(B)(15) and ARS 42-5159(B)(15). The exemption from sales tax pursuant to ARS 42‐5061(B)(15)

Yes

Capital Asset Information

Capital Equipment

Single item cost of $5,000 or more.

https://policy.fso.arizona.edu/pmm/200/210

Yes

Is Capital Equipment Budgeted

If you are using a federal research grant, capital equipment should be included in your budget. If not, you will need permission to proceed.

Yes

N/A

Building Location

If this is a capital equipment purchase, please provide the building name in which this equipment will be located.

Room Number

If this is a capital equipment purchase, please provide the room number in which this equipment will be located.

File Upload

Please upload the vendors quote (must have a non-expired date) a sole-source justification memo (if applicable) and the two additional quotes (only if you are unable to provide a sole-source memo for a purchasing exceeding $25K)

Drag and drop files here or

Send me a copy of my responses

Privacy Notice|Report Abuse