PURCHASE REQUEST & APPROVAL FORM Form Code: HSW-F32
HSWAGATA BUDDHA TOOTH RELICS PRESERVATION MUSEUM
PURCHASE REQUEST & APPROVAL FORM
Form Code: HSW-F32
Request Number: __________________________
Date: ____ / ____ / ______
1. REQUESTING STAFF
1.1 Name: ___________________________________
1.2 Department / Unit: ______________________
1.3 Phone / Email: __________________________
2. ITEMS TO BE PURCHASED
-------------------------------------------------------------------------------
| No. | Item Description | Quantity | Unit Price | Total Estimate |
-------------------------------------------------------------------------------
| 1 | | | | |
| 2 | | | | |
| 3 | | | | |
| 4 | | | | |
-------------------------------------------------------------------------------
2.4 Total Estimated Cost: __________________________
3. PURPOSE
3.1 Purpose of Purchase:
[ ] Relic care / conservation
[ ] Office use
[ ] Education / outreach
[ ] Security
[ ] Other: _________________________________
3.2 Short explanation:
___________________________________________
___________________________________________
4. SUGGESTED SUPPLIER (IF KNOWN)
4.1 Supplier Name: ____________________________
4.2 Contact / Website:
___________________________________________
5. APPROVAL
Department Head:
Name: ________________________________________
Signature: __________________ Date: ____/____/____
Finance / Director Approval:
Name: ________________________________________
Signature: __________________ Date: ____/____/____
For Finance Use:
Purchase Order Number: _______________________