TAX ID NUMBER 21-6000308
BUDGET YEAR
THIS NUMBER MUST APPEAR ON
ALL PACKAGES, INVOICES AND
CORRESPONDENCE.
PURCHASE ORDER NUMBER
VENDOR:
SHIP TO:
VENDOR NO.
DATE:
QUANTITY
ORDERED
CATALOG / UNIT ITEM DESCRIPTION / ACCOUNT NUMBER UNIT PRICE TOTAL AMOUNT
REQUISITION NUMBER NAME
2. VOUCHER COPY - SIGN AT X AND RETURN FOR PAYMENT
PURCHASE ORDER
UPPER DEERFIELD TOWNSHIP
BOARD OF EDUCATION
BUSINESS OFFICE
1385 HIGHWAY 77, SEABROOK, NEW JERSEY 08302
Phone: (856) 455-2267, ext. 2202
Fax: (856) 455-0419 - www.udts.org
SIGNATURE OF SCHOOL BUSINESS ADMINISTRATOR
SIGNATURE OF PRINCIPAL/SUPERVISOR
NO ORDER VALID UNLESS SIGNED BY
SCHOOL BUSINESS ADMINISTRATOR
CLAIMANT’S SIGNED DECLARATION
I do solemnly declare and certify under the penalties of the law that the within bill is correct in all its particulars; that
the articles have been furnished or services rendered as stated therein; that no bonus has been given or received by
any person or persons within the knowledge of this claimant in connection with the above claim; that the amount
therein stated is justly due and owing; and that the amount charged is a reasonable one.
X
VENDOR SIGN HERE OFFICIAL POSITION DATE
WE MUST HAVE THIS FORM SIGNED BEFORE PAYMENT CAN BE MADE
The Board of Education is exempt from New Jersey Sales Tax under
Sectlon-9(a)(1) of Chapter 30 Laws of 1966.
Completed orders and bills must be received by the first of the month for payment the same month.
MGL PRINTING SOLUTIONS
908-665-1999 U013-01 Q
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