FORM SFA - 8
SPONSORED FUNDS ADMINISTRATION
DIVISION OF RESEARCH
State University of New York at Binghamton
PURCHASE REQUISITION FOR SUPPLIES
Date:
PAYMENT TO SUPPLIER OR REIMBURSEMENT
Confirming PO Number
SUPPLIER/VENDOR NAME & ADDRESS
Project Task Award
Expenditure
Type
Phone #
Fax #
SSN or EIN
Name
Dept./Org.
Building
Phone #
*
NOTE: IF THIS IS AN EQUIPMENT ORDER, PLEASE SEE BELOW
SUPPLIER CATALOG /
ITEM NUMBER
COMPLETE DESCRIPTION
QUANTITY
UNIT
PRICE
AMOUNT
SUBTOTAL
SHIPPING / HANDLING
EQUIPMENT CERTIFICATION SCREENING: There is
no equipment within the department suitable and / or
available for the purposes for which the equipment on
this requisition is being purchased.
TOTAL
PLEASE CHECK ALL
APPLICABLE
GOODS RECEIVED, PAY
SUPPLIER
HAZARDOUS MATERIAL
MAIL P.O.
FAX P.O.
CONFIRMING
PRE-PAY
MSDS REQUIRED
APPROVED SIGNATURE *
PROJECT DIRECTOR SIGNATURE
* AUTHORIZED SIGNATURE DELEGATION MUST BE ON FILE WITH THE SPONSORED FUNDS OFFICE
THESE GOODS & SERVICES ARE NECESSARY TO THIS
ACCOUNT, DO NOT DUPLICATE ANY EXISTING GOODS OR
SERVICESAND ARE NOT FOR PERSONAL USE OR BUSINESS
SPONSORED FUNDS USE ONLY / FISCAL APPROVAL
PO Box 6000, Binghamton, NY, 13902-6000. Ph: (607) 777-6752.
FORM SFA- 8 Revised 6/07/04