HTML Preview Request Tech page number 1.
WEST VIRGINIA SUPREME COURT OF APPEALS
PURCHASE ORDER FORM FOR COMPUTER EQUIPMENT /SOFTWARE/MAINTENANCE
Requests for purchases of computer equipment/software/maintenance must be submitted, using this form, to the Technical Services Division
of the Administrative Office. Please clearly state the nature of your request to allow assignment of any task to the proper technician or
vendor. If you have questions, please contact the helpdesk @ 888-835-9518 or
helpdes[email protected]
Return to: Technical Services Division
WV Supreme Court of Appeals
1900 Kanawha Boulevard, East
Building 1, Room E-100
Charleston, WV 25305
F: 304-558-1212
Requested by:
Physical Address:
Telephone No.:
Justification:
Fax No.:
Administrative office use only
Tech Services Director Approval:
Chief Judge Signature:
Date:
Date:
Administrative Approval:
Date:
QUANTITY DESCRIPTION VENDOR COST/ITEM TOTAL COST
GRAND TOTAL =
A STATE TAG WILL BE ASSIGNED TO EACH ITEM IN ACCORDANCE WITH STATE REGULATIONS.
VISA PURCHASE: YES / NO or a PURCHASE ORDER NUMBER: (To be assigned by the Administrative Office)