PROCUREMENT APPROVAL FORM

    Purpose of Request:

    If this is a hotel contract, has this facility been certified by the Florida Green Lodging Program? ___YES ___NO

     

    Written justification as to why this facility was selected, if NO is checked, must be attached.

     

    1. Amount: $     2. Vendor’s Name:                

    3. Requestor’s Name:

    4. Requestor’s Address & Phone No.:

     

    5.___________________________________________________

    Budget Officer’s Approval      Date    

     

     

    ORG CODE

     

    FLAIR Account Code:

     

    GF

     

    SF

     

    FID

     

    BE

    48

    48

     

    IBI

    00

    00

     

    CAT

     

    DIV

    L2

    BUR

    L3

    SEC

    L4

     

    L5

     

    EO

    OBJECT

    CODE(S)

     

    AMOUNT

    VENDOR I.D. or

    JOURNAL TRANSFER NO.

    GRANT

    NUMBER

    ENC ENC

    GL LN

         

         

         

    000

         

         

         

         

         

    94100 0001

         

         

         

    000

         

         

         

         

         

    94100 0002

    6. Submitted By:              Date:        Telephone No.:             

    7. Comments:      

    A.) Contract Administrator

    Comments

     

    Signature Date

    		 

    B.) Program Director’s Approval

    Comments

     

    Signature Date

     Cabinet Member’s Approval if Required

     

    Signature Date

    		 

    C.) Office of the General Counsel – Legal Review

    Comments

    Approve Disapprove Subject To

    		 

     

    Signature Date

    		 

    D.) Deputy Commissioner/Finance and Operations

    Comments

     

    Signature Date

    		 

    E.)   Obtain Commissioner’s Approval   

    		  

     

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