Blank WATER AND SEWERAGE DEPARTMENT PURCHASE ORDER REQUISITION From: ACCOUNTS PAYABLE DIVISION I hereby request that the articles listed are to be ordered by Local Purchase Order and charged to: Subhead: Description: Prepared by: Name Signature Date Approved by: Director, W&SD Date Vendor Name: Item Articles Quantity Unit Unit Price Amount 0...................00 TOTAL

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Blank WATER AND SEWERAGE DEPARTMENT PURCHASE ORDER REQUISITION From: ACCOUNTS PAYABLE DIVISION I hereby request that the articles listed are to be ordered by Local Purchase Order and charged to: Subhead: Description: Prepared by: Name Signature Date Approved by: Director, W&SD Date Vendor Name: Item Articles Quantity Unit Unit Price Amount 0...................00 TOTAL $0.00 TO: DIVISION HEAD, DIVISION Please be informed that this request cannot be honored in light of the following: ( ) Insufficient funds under subhead (Dept) ( ) Insufficient funds under subhead (Division) ( ) Other …... ……………………………………. Blank (2) NAME OF COMPANY PURCHASE ORDER REQUISITION From: ACCOUNTS PAYABLE DIVISION I hereby request that the articles listed are to be ordered by Local Purchase Order and charged to: Prepared by: Name Signature Date Approved by: Director Date Vendor Name: Item Articles Quantity Unit Unit Price Amount TOTAL TO: DIVISION HEAD, DIVISION Please be informed that this request cannot be honored in light of the following: ( ) Insufficient funds under subhead (Dept) ( ) Insufficient funds under subhead (Division) ( ) Other …... ……………………………………. Sheet2 Sheet3