KML Purchase Order - Florida Institute of Oceanography

Name *

First

Last

Email *

Date of Request *

Phone

Is this vendor on USF's Diverse Vendor Listing Database? *

https://www.usf.edu/business-finance/supplier-diversity/for-usf-departments/index.aspx

Indicate the keywords* you used to search Florida's DMS Certified Diversity Vendor Directory *

*Must have used a minimum of 3 keywords to search for vendor https://osd.dms.myflorida.com/directories

Vendor Name *

Vendor Representative/Contact Name *

Vendor Address

Address Line 1

Address Line 2

City

State

Zip Code

Vendor Phone *

Vendor Email *

Vendor Fax

Description of Items

Tag/Decal #

Quantity

Unit Price ($)

Purchase Total ($)

Description of Items (purchase #2)

Tag/Decal # (purchase #2)

Quantity (purchase #2)

Unit Price ($) (purchase #2)

Purchase Total ($) (purchase #2)

Description of Items (purchase #3)

Tag/Decal # (purchase #3)

Quantity (purchase #3)

Unit Price ($) (purchase #3)

Purchase Total ($) (purchase #3)

Grand Total ($)

Detailed Justification for Purchase

FIO Requisition Memo To

FIO Requisition Memo From

Detailed Justification for Purchase

Please attach supporting documents here:

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