Receipt of Goods

CERTIFICATION OF RECEIPT GOODS

Click on the submit once you have completed the form, a copy will be forwarded to your email account. Gather additional signatures from your approving official, forward a signed copy to procurement.

I CERTIFY THAT I HAVE MADE EVERY ATTEMPT TO OBTAIN AN ORIGINAL RECEIPT/INVOICE FOR THE FOLLOWING ITEMS:

User Name *

Department *

Your email Address *

Name of Vendor *

Purchased Date * +

Item Description *

Quantity *

Item Number *

Unit Price *

Extension:

0.00

Item Description

Quantity

Item Number

Unit Price

Extension:

0.00

Item Description

Quantity

Item Number

Unit Price

Extension:

0.00

Item Description

Quantity

Item Number

Unit Price

Extension:

0.00

Item Description

Quantity

Item Number

Unit Price

Extension:

0.00

Item Description

Quantity

Item Number

Unit Price

Extension:

0.00

Current Total:

0.00

Other Amount

Total

0.00

Reason(s) original, itemized receipt/invoice was not obtained for this order: *