Request To Close Purchase Order Form
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1University of
Request to Close Purchase Order Form
Massachusetts
Procurement Office
TEL# 774-455-7143
FAX# 774-455-7550
Please forward to Procurement Office for processing
Requestor: _________________________________________
Requestor
Signature: ___________________________________________
Department: _________________________________________
Date: _______________________________________________
Telephone: _________________________________________
Reason for Closing: ___________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
Purchase Order Information
Purchase Order Number: ______________________________
Vendor Name: _________________________________________
Vendor ID: _________________________________________
Purchase Order Balance: $______________________________
Has there ever been activity on the purchase order?
YES
NO
If YES, is activity from current fiscal year?
YES
NO
If YES, most recent voucher number: ______________________________
Has the contract reached the termination date?
YES
NO
Contract Termination Date: ______________________________________
Have all goods or services been delivered?
YES
NO
Has the vendor been informed the purchase order is now closed?
YES
NO
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Parent category: Business