CERT TRAINING---PURCHASE REQUEST FORM, FOOD ITEMS

CERT TRAINING---PURCHASE REQUEST FORM, FOOD ITEMS, con't.
(Use this form to request the purchase of food items) ATTACH ALL VENDOR QUOTES!
ITEM INFORMATION (enter all requested information)
VENDOR INFORMATION (enter all requested information)
ITEM #2, con't.
Additional Notes
Sole Vendor*
State Contract*
Total Cost
Company Name
Company Contact
Phone
Address
City, State, Zip
ITEM #3
Type
Category
Sole Vendor*
State Contract*
Total Cost
Quantity
Company Name
Producer/Business*
Description**
Justifcation
Company Contact
Address
City, State, Zip
Phone
*Unless documentation is provided that a particular producer/business is needed,
we reserve the right to purchase acceptable equivalents.
**Put additional description information in "Additional Notes."
*Sole Vendor is defined as the only company that manufactures/sells a particular item.
Supporting documentation must be provided verifying the sole vendor status.
*Supporting documentation must be provided (i.e. copy of state contract or web
reference).