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REQUEST TO ISSUE A PURCHASE ORDER
For Internal Use Only - This is not a Purchase Order
Requesting Department
Athletics
Finance
HR
IT
Date Needed
(mm-dd-yyyy)
Requisition #
Purchase Order #
Select all applicable items
Standard Purchase
Sole Source
Warranty
Repair & Return
Unit Exchange
Construction
Contract
Change Order
Professional Services
Arch/Engr Services
Grant Funded
Emergency Purchase
Other
Other Comments
Bidders (Name, Address, Phone Number
Add section
Vendor
Bid Amount
Remove
For Internal Use Only - Does not commit to making a purchase.
Acct
Add section
Fund
Dept.
Location
Account
Pro/Veh
Grant
Line
Remove
Item(s)
Add section
Qty
Unit
Vendor Catalog/Item Desc.
Stock#
Unit Price
Ext. Price
Remove
Independent Cost Estimate (ICE)
Total
Requested By
Phone
Email
Date
(mm-dd-yyyy)
Remarks
PO to be signed by C.F.O.
Click here to sign
Attach Document (PDF, JPG, PNG, GIF, TIFF Only)
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