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REQUEST TO ISSUE A PURCHASE ORDER
For Internal Use Only - This is not a Purchase Order
Requested By
Requesting Department
B&B
Cleaning
Clerk
Dispatch
DP Admin
Garage
Line / Signal
MC Admin
Mechanical
Other
Pass Comm
Police
Purchasing
Signal / Comm
Track
Transportation
Date Needed
(mm-dd-yyyy)
Requisition #
Purchase Order #
Select all applicable items
Standard Purchase
Sole Source
Warranty
Repair & Return
Unit Exchange
INDOT / IDOT
Construction
Contract
Change Order
Professional Services
Arch/Engr Services
Grant Funded
Emergency Purchase
Other
Other Comments
Selected Vendor Info
Vendor Name
Contact Name
Order Type
Confirmed
Credit Card
Fax
New
Online
Email1
Email2
Suggested Vendor (Name, Address, Phone Number)
Add section
Vendor
Bid Amount
Remove
For Internal Use Only - Does not commit NICTD to make a purchase.
Acct
Add section
Fund
Dept.
Location
Account
Pro/Veh
Grant
Line
Remove
Item(s)
Add section
Qty
Unit
Vendor Catalog/Item Desc.
NICTD Stock#
Unit Price
Ext. Price
Remove
Independent Cost Estimate (ICE)
Total
Date
(mm-dd-yyyy)
Remarks
PO to be signed by C.F.O.
Click here to sign
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