Vendor

Ten digits, including area code, and no dashes. i.e. 8139821000

*Priority


*Method of Payment


*Purchase Description

Include quantities, description, and unit/extended price of items purchased.
If you do not know the exact amount (such as a pre-authorized trip to Sam's Club), use the "estimate" or "not to exceed" buttons.

Expense Category Breakdown


Requestor


Remarks

Justify unbudgeted, or emergency expenses.