ACSSSD Purchase Requisition - ACSSSD Purchase Order

Purchase Requisition
Atlantic County Special Services School District

4805 Nawakwa Blvd., Mays Landing, New Jersey 08330
Systems Vendor #:
QUOTE #:
Vendor Information
Name:
Sales Rep:
Email Contact:
Requester Information
Name:
Date:
Department:
Supervisor:
FORMS THAT ARE INCOMPLETE WILL RESULT IN PURCHASE ORDER DELAYS
New Vendor
W-9 Attached
W-9 Attached (Required for new vendors)

***All vendor information is required (Check Box if New Vendor & W-9 is attached)
Budget Account / Account Number:
State Contract/ Co-Op Number
Project Number

Purchase Rationale (please provide a brief explanation of how this purchase is of operational value to your dept/school/office):

The ACSSSD is exempt from NJ sales tax. Any requests from vendors (i.e. tax forms, applications, account information) may be directed to the Business Office at accountspayable@acsssd.net or 609-625-5590 x 1955

"All financial transactions are subject to auditor review"
Purchase Rationale (please provide a brief explanation of how this purchase is of operational value to your dept/school/office)
Should be Empty: