Required fields are marked with asterisks (*)

Purchase Order Request Form

Please complete and submit this form for PO requests under $50,000

Please ensure you have your supervisor's approval and the GL account number.

If the purchase is between $10,000 and $50,000 you must provide 3 quotes (either emailed to TOSaccounting@belleville.ca or attached in this submission) or fill out and attach the Sole/Single Source letter.

Following these requirements will assist staff in preparing your PO promptly. We will contact you if more information is needed in order to process your request.

If you have any questions please contact tosaccounting@belleville.ca.

Requestor's Full Name:

Date PO is required:

Email Address to receive the PO #:

Company/Vendor Name:

Amount: (before tax)

Attach quote

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Description (Include unit #'s if applicable):

GL Account:

Cost Code/Project #:

Amount before tax

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Does this PO apply to a product that contacts drinking water?

Yes

Does this PO apply to work that will occur on City property?

Yes