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: _________________________________
____________________________________________________
____________________________________________________
____________________________________________________
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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)