Purchase Order Change Form

For Purchase Order Number _________________________ For IBIS Document Number ____________________________
Vendor _________________________________________________________________________________________________
Action Requested By: Name ______________________________________ Date ____________ Phone _____________
APPROVALS (required for all actions except Trace)
The requested action support our objectives and is appropriate within
University policies.
Budget Administrator/Budget Executive Date Financial Officer Date
Sufficient funds will exist for changes requiring additional funds. Changes
comply with University fiscal policy.
(07-02-91) Form GF2.5
____ Increase
____ Budgetary
Modifications
____ Reopen
____ Decrease
____ Cancel
____ Other
____ Trace: Notify -
Phone -
DESIRED ACTION TO BE TAKEN:
OK:
FORWARD TO THE DEPARTMENT OF PURCHASES FOR THE ABOVE ACTIONS
OK:
ACCOUNTING OPERATIONS
FOR THE ABOVE ACTIONS
FORWARD TO
Line Item Dept. Ref. No. Post Code Dept. No. Fund No. Obj. Class Project No. Amount
To be completed for INCREASE, DECREASE, CANCEL, REOPEN (also complete Explanation)
Line Item Dept. Ref. No. Post Code Dept. No. Fund No. Obj. Class Project No. Amount
To be completed for BUDGETARY MODIFICATIONS (also complete Explanation)
FROMTO
Line Item Dept. Ref. No. Post Code Dept. No. Please Notify...
To be completed for TRACE
To be completed for OTHER
Specify other action to be requested of Purchasing. Please provide details such as line item, reference, budgetary information, etc.
Name:
Phone:
Explanation
PURCHASE ORDER CHANGE FORM
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