TO: Procurement Assistant
CLARKSTON CAMPUS
PHONE: 678-891-3325
FAX:     404-299-4416
FPOC REQUEST
DATE: ______________
FROM: ______________

RE: FIELD PURCHASE ORDER CORRECTIONS

PO #71000-___________ VENDOR ___________________________________

Please issue an FPOC to change or cancel to line(items) number(s). circle one

ITEM NO.   DESCRIPTION     OLD PRICE NEW PRICE
______ ____________________________________  $______ $_______
______ ____________________________________  $______ $_______
______ ____________________________________  $______ $_______
______ ____________________________________  $______ $_______
______ ____________________________________  $______ $_______
______ ____________________________________  $______ $_______
______ ____________________________________  $______ $_______
______ ____________________________________  $______ $_______
______ ____________________________________  $______ $_______
______ ____________________________________  $______ $_______

Increase/Decrease the amount of the above purchase order in the amount of $________,
creating a new total of $____________.

REASON:_______________________________________________________________________________________________________________________________________________________________________________________________________________

PER______________________
DEPARTMENT

THANK YOU

PURCHASING     Ext-3325