Specifics
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Enter dollar amounts ($ 00,000.00)
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(please check your math)
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(please check your math)
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Attachments
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Please indicate which documents have been attached to the contracts.
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Accounting Details
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Indicate below the account number(s)and amount(s) to be encumbered (please check your math).
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If applicable, indicate the Purchase Order # to be amended and the expiration date for the amended Purchase Order
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Reserved
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rev 08/22/2011; 06/11/2014; 11/23/2015; 08/25/2017; 12/17/2019; 08/17/2021
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* indicates required fields.
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