Mail&Shipping-ReceiptorCancelForm

Notification of Receipt of Merchandise or Cancellation of Purchase Order

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 distribution center.

Your Email Address: *

Name of Department *

Purchase Order#

Date * +

Does this equipment contain electronic storage media? If yes, please attach the completed Electronic Data Sanitization Verification form. Please note: the Property Management Office will not process your request without the completion of this form.

All items on the P.O. were delivered in satisfactory condition on

Date +

The items circled on the attached P.O. were delivered in satisfactory condition on

Date +

All items on the P.O. were picked up from the vendor on

Date +

Only the items circled on the attached copy of the P.O. were picked up from the vendor on

Date +

The P.O. was cancelled on

Date +

Reason:

Other

Reason:

Print Name and Title

Date * +

Signature *

clear