Document 260001
Stephen Schillo, Vice President Management and Business Stephen Schillo, Vice President Management and Business Contact: Denise Sciulli or Dana Jones Contact: Denise Sciulli or Dana Jones Phone: 412.396.6063 E-mail: [email protected] or [email protected] Contract Cover Sheet Original contract must be attached to this cover sheet Phone: 412.396.6063 E-mail: [email protected] or [email protected] Contract Cover Sheet Original contract must be attached to this cover sheet To: Stephen Schillo, Room 503, Administration Building To: Stephen Schillo, Room 503, Administration Building From: ______________________________________________ From: ______________________________________________ Department: ___________________________Ext.__________ Department: ___________________________Ext.__________ Contract Vendor Name: ____________________________ Contract Vendor Name: ____________________________ Purpose of Contract: _________________________________ Purpose of Contract: _________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ Funding Cost Center(s) ____________________________________________________ Funding Cost Center(s) Fund Org Account Financial Commitment Fund Org Account Financial Commitment CTS Review (required with all hardware/software contract purchases): ____________________________________________________ CTS Review (required with all hardware/software contract purchases): ____________________________________________________ (Reviewers’ Signatures) (Reviewers’ Signatures) (Date) (Date) I recommend that this contract be executed: ___________________________________________________ (Dean, Director, or Department Head Signature) (Date) I recommend that this contract be executed: ___________________________________________________ (Dean, Director, or Department Head Signature) (Date) Legal Affairs Approval: Legal Affairs Approval: ____________________________________________________ (Date) ____________________________________________________ (Date)
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