Green Purchase Policy

 Environmentally Preferable Purchasing Policy Table of Contents Purpose 2 Reasoning.............................pages 2-­‐3 Goals........................................pages 3-­‐4 4 Best 5 Purchasing Checklist........pages 5-­‐6 Procedure..............................pages 6-­‐7 Certifying Agencies...........pages 7-­‐8 Definitions............................pages 8-­‐10 Sample Purchase 11 Responsible Party: Administrative: Business Original Issuance Date: May 2012 Date of Last Revision: November 1, 2013 Effective Date: May 22, 2012 Scope: Operations, Purchasing, and Procurement Purchasing Policy for Environmentally Preferable Products and Services Our Purpose The purpose of the Willow School Purchasing Policy for Environmentally and Socially Responsible Products and Services is to provide guidelines, information, and resources for procuring products that will minimize negative impacts on the living ecological and social systems that support us and maximize resource efficiency and health. This policy is one element in our continuing commitment to improving the health of our place, our watershed and our community. The policy is grounded in the Mission of the School and its focus on virtues and the ethical relationships between human beings and the ecological systems that support them -­‐ one which models ethics as the basis for all relationships. Embedded in The Willow School’s Virtues Program, designed to mentor ethical relationships between people, is the commitment to mentor that same ethical relationship with our natural world and for developing a sense of personal stewardship and love for the earth. The Willow School is committed to actions designed to conserve, protect, heal and improve the health of our place, our watershed and our community. Through educating and engaging the producers and suppliers of the products and services we use, this policy can help others use practices that reduce their impact on the environment as well. Our Reasoning For buying recycled paper products: According to the U.S. Environmental Protection Agency, approximately 33 percent of the municipal solid waste stream is made up of paper and paperboard products. Purchasing 100% recycled-­‐content paper can reduce the energy used to make the paper by 44%, decrease green house gas emissions by 37%, cut solid waste emissions in half, decrease water use by 50%, and substantially eliminate wood use. Recycling produces numerous direct and indirect benefits: it conserves resources, prevents emissions of greenhouse gases and water pollutants, saves energy, supplies valuable raw materials to industry, creates jobs, stimulates the growth of greener technologies, and reduces the need for new landfills and incinerators. For buying green cleaning products: Environmentally friendly cleaning products help improve indoor air quality and reduce the health problems that traditional products cause. Building occupants, visitors and maintenance staff experience fewer eye, skin and respiratory irritations as well as burns, allergic reactions, and chemical sensitivities. A healthier indoor environment is statistically proven to show increased occupant satisfaction, improved morale, decreased absenteeism, and increased productivity. It decreases air and water pollution by reducing the amount of hazardous and toxic items requiring disposal. For reducing our energy consumption: According to The U.S. Department of Energy, schools spend over $6 billion nationwide on energy each year. Many spend more on energy bills than on school supplies. According to the Consortium for Energy Efficiency, up to 25% of 2 schools’ energy costs can be attributed to poorly designed or outdated systems. On average, green schools save $100,000 per person on operating costs-­‐ enough to hire 2 new teachers, buy 200 new computers, or purchase 5,000 new textbooks. For reducing our greenhouse gas emissions: The United States produces about 25% of the global carbon dioxide emissions and meets 85% of its energy needs by burning fossil fuels. With research done by the Intergovernmental Panel on Climate Change proving the link between steadily increasing global temperature and climate change with atmospheric carbon dioxide concentrations, this is an important topic that institutions must consider when making purchasing decisions. For improving Indoor Air Quality (IAQ): Research shows that good indoor air quality can improve a student’s academic performance, and even result in higher test scores. Poor air quality can lead to health and respiratory problems, and be a signal of sick building syndrome-­‐ where carbon dioxide is not vented outside effectively and can actually put students and staff alike to sleep. Our Goals a. Purchase “Environmentally and Socially Responsible Products and Services”: Purchase products or services that not only have a lesser or reduced negative effect on human health and the health of the environment when compared with competing products or services that serve the same purpose, but also have the potential to improve human and environmental health and the health of the living systems that make up our community. b. Consider all product consequences: Purchase products that consider the economic, ethical, social and environmental impacts and support the 3 R’s of waste management, reduce, reuse and recycle. Environmental factors should be taken into account to establish “life cycle costing criteria” to ensure that product evaluation gives proper consideration to the environment over the creation and life of the product, from raw material extraction, to packaging, shipping, transportation, use/application, and at the time of ultimate disposal. Through the use of Life Cycle Assessment, The Willow School hopes to demonstrate and apply the benefits of integrating social, ethical, economic, cultural and ecological upstream indicators as well as the multiple downstream impacts. c. Purchase products that reduce our overall ecological footprint: Research shows that purchasing Environmentally and Socially Responsible Products and Services early in the procurement process has the power to reduce and even eliminate waste as well as reduce costs, while addressing ethics, environmental protections, and social regeneration. d. Reduce and eliminate landfill waste: Purchase products that are recyclable, compostable, or reusable. Review how supplies are manufactured, purchased, packaged, delivered, used and disposed. Using materials recovered from the waste stream results in less waste, pollution, and energy use when compared to using virgin materials. Specify materials with high percentage of post consumer recycled content, post-­‐industrial recycled content and agricultural waste content. 3 e. Improve indoor air quality: Purchase products that are certified to be nontoxic and do not contain persistent organic pollutants, persistent bioaccumulative toxins, neurotoxins, mutagens, and endocrine disruptors. Products containing hazardous chemicals can pose significant health risks to students, faculty and the public, as well as threaten the health of the environment. Environmentally and Socially Responsible Products have the potential to reduce risks to human health and the environment, contribute to better indoor air quality and reduce incidents of allergic reactions, asthma, eye damage, major organ damage, and cancer connected with the hazardous chemicals used in many products. f. Reduce energy use, water consumption and greenhouse gas emissions: Purchase products and services that reduce energy and water consumption and greenhouse gas emissions and conserve resources and energy by choosing durable and low-­‐
maintenance type products, salvaged materials, and products that are recyclable, reusable, or compostable. Reducing energy use is important because most energy production contributes to problems such as carbon dioxide emissions (tied to global warming), mercury release, acid rain, volatile organic compounds, and hazardous waste. Reducing water usage is important because less than 1% of the earth’s water is available for human consumption. Actions a. Short Term-­‐ Actions we desire to implement and complete within two fiscal years. i. Create a list of pre-­‐approved items to simplify the green purchasing process for faculty, staff and administration. ii. Create a list of pre-­‐approved suppliers who can provide a supply-­‐chain list and who work to exceed our environmental expectations. b. Long Term-­‐ Actions that will require continual attention, or take more than two years to implement on campus. i. Perform cost-­‐benefit analyses to determine if the ‘greenest’ option is too costly or impractical. ii. Design and implement a feedback process between end user and purchasing agreement to ensure the products we purchase perform efficiently and effectively. ii. Inquire about the policies and practices of the manufacturers of our selected products to ensure they are aligned with The Willow School goals. Best Practices Purchasing preference will be given to products meeting the following criteria: a. Contribute to Waste Reduction: ■Durable and multifunctional as opposed to single use or disposable items. ■Reusable or contain reusable parts ■Made of the highest percentage of recycled materials, maximizing post-­‐
consumer content. ■Can be recycled or composted. 4 b. Improve Indoor Air Quality: ■Non-­‐toxic or minimally toxic, preferably biodegradable or compostable. ■Made from raw materials obtained in an environmentally sound and sustainable manner and do not use hazardous materials in their production. ■Cause minimal or no environmental damage during normal use or maintenance. c. Energy Efficient: ■Highly energy efficient in production and use. d. Companies with a superior Supplier Environmental Record: ■Manufactured in an environmentally sound and sustainable manner by companies dedicated to sustainable and ethical practices. e. Packaging: ■Shipped with minimal packaging made of recycled materials and that can be recycled or reused. f. Greenhouse Gas Reduction: ■Produced locally or regionally to minimize the costs and environmental impacts of shipping and transportation. Purchasing Checklist Prior to purchasing a product or service review the following checklist: a. Is the product really needed? b. Is the product size/magnitude necessary? c. Are all the features of the product necessary? Can any features be eliminated, is there a suitable alternative that is less harmful to the environment and safe to use? d. Is the product designed to be durable/long lasting? e. Are recycled materials used to make the product? f. Was the product produced locally? How far did it travel from where it was manufactured and where it is being used? g. Does the product contain any banned or restricted substances? h. Does the product contain any exotic/endangered materials? i. Is the product reusable, compostable, or recyclable following use? j. Does the product require special disposal considerations? k. Is the product energy efficient? l. Is the product designed for easy maintenance and repair? m. Are replacement parts made from recycled materials and are they themselves reusable or recyclable? n. Are the products designed to reduce consumption and minimize waste? o. Is the product packaging minimal, made from recycled materials, and recyclable or reusable? Procedure The purpose of this procedure is to facilitate planning and preparations for responsible spending for materials and teaching supplies for the school. The Assistant Controller is to support the faculty and staff by placing and tracking of orders. Faculty and staff are to support the Assistant Controller by completing clear, concise and timely purchase orders. a. Purchase Orders -­‐ When using a purchase order form *, please follow these steps: 5 · Fill out the purchase order form completely with item numbers, quantity and brief description of the item or items being requested. · Include vendor fax and phone numbers. · Include shipping cost if applicable. · If a check is required, check the box for a check request. ·School Directors are to initial the Review box on purchase orders verifying they have reviewed the order for appropriateness. Place form in Assistant Controller's mailbox to obtain PO number and approval. · All orders will be approved and placed by the Assistant Controller. Once the order has been approved and placed it will be scanned into the teachers purchasing folder located on the shared drive (S:\ADMINISTRATION\PURCHASING\teacher name\) · Purchase orders in excess of $300 are approved by the business office first then by the head of school. · If an item is on back order or discontinued, you will be notified via email for an alternative product to replace the out of stock item. b. Faculty is to refer to the curriculum guide, the scope and sequence, and their inventory and budget balances in preparation for ordering any supplies and materials. Checking supply closets and with neighboring teachers for supplies is a good way to determine what needs to be purchased and what can be borrowed. d. All P.O.’s for the current school year will be placed by April 30th of that year. e. Purchase orders for the coming school year are due in the business office by June 30th for approval. Orders will be placed on July 2nd. f. Records of all purchase orders are kept in the business office. g. When supplies are delivered, the Assistant Controller will mark the boxes to be delivered to your classroom. h. Consumables are stored in the supply closets for each building. These items are purchased in bulk two times per year and inventory checked monthly. If an item is low or you use the last one, notify the Assistant Controller so the item may be replenished. i. Reimbursable Expenses: i. Only Purchases less than $50.00 are considered to be reimbursable. ii. If you need to purchase supplies under $50.00 in an emergency, you will be reimbursed out of petty cash. Reimbursement forms can be obtained at the front office. iii. Please keep a supply of ST-­‐5 tax-­‐exempt forms in your car. iv. All receipts must be handed in to the business office within ten (10) business days from date of purchase for reimbursement. v. These purchases must be in alignment with this purchasing policy or receive prior approval if they are not. j. Budgets: i. Each faculty / staff member is responsible for tracking their own budgets. ii. The business office maintains budget worksheets on the Google drive. These track both pending orders as well as finalized orders. iii. Unused budgets by May 31st will remain unused for the school year and will not affect the budget for the coming year. 6 Certifying Agencies The following is a list of organizations that The Willow School uses to choose the products we purchase. 1. EPA Environmentally Preferable Purchasing: A best practices manual that helps federal government agencies comply with green purchasing requirements, and uses the federal government's enormous buying power to stimulate market demand for green products and services. 2. Responsible Purchasing Network: an international network of buyers advised by a steering committee of leading procurement stakeholders from government, industry, educational institutions, standards setting organizations, and related organizations dedicated to socially responsible and environmentally sustainable purchasing. 3. EPEAT (Electronic Product Environmental Assessment Tool: Managed by the Green Electronics Council, composed of government and business officials, which certifies electronics for life cycle planning done by manufacturers in addition to sustainability measures. Provides an online tool to help institutional purchasers select and compare electronic devices based on their environmental attributes. 4. Cradle to Cradle: Founded in 2005 by McDonough Braungart Design Chemistry (MBDC). C2C is a multi-­‐attribute, eco-­‐label that assesses a product’s safety to humans and the environment. It focuses on safe materials that can be disassembled and recycled as technical nutrients or composted as biological nutrients. 5. Certified Carbon Free: Third Party certification managed by a board of international entrepreneurs that guarantee a product’s manufacturing process is carbon neutral. Encourages everyone to continually strive to reduce their carbon footprint through sensible energy reductions combined with cost-­‐
effective carbon offsets to eliminate their overall carbon footprint. Supports third-­‐party validated renewable energy, energy efficiency, and reforestation projects globally that reduce carbon dioxide emissions.­‐certification 7 6. Energy Star, Launched 1992. Managed by the U.S. Environmental Protection Agency and U.S. Department of Energy. Is a government certification relying on manufacturer-­‐provided data or third party testing. Helps businesses and individuals make informed product purchasing decisions and protect the environment through energy efficiency. 7. WaterSense: -­‐ Launched in 2006. Managed by the U.S. Environmental Protection Agency. Watersense is a government label based on 3rd party testing and designed to encourage water efficiency in the U.S. through designating water-­‐efficient consumer products. 8. Greenguard-­‐ Launched 2000-­‐2005. Managed by the Greenguard Environmental Institute. Is an indoor air quality (IAQ) third party certification program. Their mission is to improve human health and quality of life by enhancing IAQ and reducing exposure to chemicals and air pollutants. 9. Green Seal: Program began in 1989, certification ability launched in 2010. Managed by Green Seal Organization. Green Seal is a non-­‐profit organization that uses science-­‐based programs to empower consumers, purchasers, and companies to create a more sustainable world. Certifies products that align with their values and verifies company claims regarding emissions and material sourcing. 10. FSC: Launched in 1993. Managed by the Forest Stewardship Council. Verifies that forestry products are sustainably harvested. Independent certification organizations are accredited by FSC to carry out assessments of forest management to determine if standards have been met. These certifiers also verify that companies claiming to sell FSC certified products ave tracked their supply back to FSC sources. This chain of custody assures that consimers can trust the FSC label. 11. NSF: National Sanitation Foundation, third party certified millions of consumer, commercial, and industrial products today. Products evaluated and certified by NSF International include bottled water, food equipment, home water treatment products, home appliances, plumbing and faucets, and even pool and spa components. 8 12. Green Office Certification-­‐ Willow has been certified since March 2011. GreenLine Paper Company certifies organizations that meet prescribed environmentally responsible criteria. The applicant must use energy efficiently, recycle, use recycled and energy efficient products, and be environmentally savvy.­‐office-­‐certification/info_14.html 13. EcoLogo-­‐ Third party certification of products, founded in 1988. Compares products/services with others in the same category, develops rigorous and scientifically relevant criteria, and awards the EcoLogo to those that are environmentally preferable throughout 14. The Green Screen-­‐ The GreenScreen™ for Safer Chemicals is a method for chemical hazard assessment (CHA) to help move our society quickly and effectively toward the use of greener and safer chemicals. The GreenScreen™ is helping major companies and governments to substitute hazardous chemicals with safer alternatives. The GreenScreen™ is the first free, fully transparent and publicly accessible tool to identify substances that are inherently less hazardous for humans and the environment. The GreenScreen™ is intended for internal and business-­‐to-­‐business information sharing. It is not intended for promotional purposes 15. Perkins + Will Precautionary List-­‐ Goal :It is their belief that products that are harmful to humans, animals, and the environment should not be used in projects, and to that end, they seek to inform our clients of available alternatives so as to permit them to make informed decisions. Evaluation: The substances listed all have been classified by multiple regulatory entities as being detrimental to the health of humans and the environment. These lists are evolving documents that will be updated as new relevant data emerges. Alternatives: Rather than use products which contain these substances, we will seek out alternatives, in keeping with the precautionary principle, in an effort to be responsive to reported health effects, and thereby to protect our health and the health of future generations too. These lists are compilations of available data, and are not an endorsement of any of the referenced studies, articles, or data. Users are expected to practice due caution and to conduct their own research so that they can make informed decisions. 16. Living Building Challenge Materials Red list-­‐ This list is composed of items that have been identified to be phased out of production due to health/toxicity concerns and will be updated and replaced as new science emerges. A key intention for this Imperative transcends targeting specific ingredients, and aims to broadly influence the industry’s procurement process through proactive and constructive communication between manufacturers and consumers. 9 17. Pharos-­‐ The Pharos Project is a program that promotes transparency in the building materials market. What we are creating is the ultimate campaign tool: a tool for users to locate the best materials to meet their current needs and values; to help cut through the prolific greenwashing; a space where users can discuss what makes a product truly green; and, most importantly, a platform from which to show manufacturers what constitutes a market in support of the best environmental, health and social equity practices. 18. Basta-­‐ The objective of BASTA is to speed up the phasing out of dangerous substances in construction products. BASTA´s "properties criteria" are at the heart of the system. These criteria build on the EU chemical legislation, REACH, which focuses on the phasing out of the most hazardous substances. By asking your suppliers to confirm that their products meet the BASTA criteria you can avoid using hazardous substances in your building projects. In the BASTA system, it is the suppliers themselves that determine whether their products meet the criteria. Terms and Definitions Alternative energy — this is energy obtained from sources other than fossil fuels such as wind, hydro, solar, nuclear energy. See Also: Renewable energy. Bio-­‐based Product — A product (other than food or feed) that is produced from renewable agricultural (plant, animal and marine) or forestry materials Biodegradable — capable of being broken down especially into innocuous products by the action of living things (such as microorganisms) over time Carbon dioxide — (CO2) is a naturally occurring greenhouse gas in the atmosphere and is a byproduct of burning fossil fuels, which can contribute to climate change. A heavy, colorless gas; CO2 does not support combustion, dissolves in water to form carbonic acid, is formed especially in animal respiration and in the decay or combustion of animal and vegetable matter, is absorbed from the air by plants in photosynthesis, and is used in the carbonation of beverages. Carbon Footprint: The total measurable effect that human related activities have had on
the organic life in Earth’s environment. Measured in tons of Carbon dioxide, TCO2, a
person’s carbon footprint includes the amount of CO2 emissions that result from energy
consumption and transportation, as well as emissions generated by the production,
distribution, and eventual waste breakdown of the products a person uses. Many
businesses are using the carbon footprint measure as a tool for understanding and
maximizing the potential for supply chain efficiency. The Environmental Protection
10 Agency (EPA) and similar agencies internationally offer “emissions calculators” for
quantifying carbon footprints.
Carbon neutral: an activity that does not produce any carbon emissions or whose carbon
emissions have been offset through actions that create new carbon sequestration
opportunities (Ex: Planting trees that will sequester the equivalent amount of carbon the
activity produced).
Carcinogen: Cancer-causing substance or agent.
Closed-loop Recycling: When a used product is recycled into a similar product; a
recycling system in which a particular mass of material (possibly after upgrading) is
remanufactured into the same product (e.g., glass bottles into glass bottles).
Compostable: refers to a material that is able to break down in the soil under aerobic
conditions. ASTM D6002 defines compostable as, “Capable of undergoing biological
decomposition in a compost site as part of an available program, such that the material is
not visually distinguishable and breaks down into carbon dioxide, water, inorganic
compounds, and biomass...”
Conservation: Preservation, protection, or restoration of the natural environment, natural
ecosystems, vegetation, and wildlife.
Earth Day (April 22nd): A day designed to inspire awareness and appreciation for the
earth's environment. It was founded by U.S. Senator Gaylord Nelson (D-Wisconsin) as an
environmental teach-in in 1970 and is celebrated in many countries every year. Earth Day
is spring in the Northern Hemisphere and autumn in the Southern Hemisphere.
Ecosystem: The interaction of organisms from the natural community with one another
and their environment to sustain one another.
Endocrine Disruptors: Endocrine disruptors are substances that "interfere with the
synthesis, secretion, transport, binding, action, or elimination of natural hormones in the
body that are responsible for development, behavior, fertility, and maintenance of
homeostasis (normal cell metabolism)." They are sometimes also referred to as
hormonally active agents, endocrine disrupting chemicals, or endocrine disrupting
compounds (EDCs). These disruptions can cause cancerous tumors, birth defects, and
other developmental disorders and are known to cause learning disabilities, severe
attention deficit disorder, cognitive and brain development problems, deformations of the
body (including limbs); sexual development problems, feminizing of males or masculine
effects on females, etc.
Environmentally and Socially Responsible: a product or service that not only has a lesser
or reduced effect on human health and the health of the environment when compared
with competing products or services that serve the same purpose, but also has to potential
11 to improve human and environmental health and the health of the living systems that
make up our community.
Greenhouse Effect: warming of the surface and lower atmosphere of a planet that is
caused by conversion of solar radiation into heat in a process involving selective
transmission of short wave solar radiation by the atmosphere, its absorption by the
planet's surface, and reradiation as infrared which is absorbed and partly reradiated back
to the surface by atmospheric gases. About 80-90% of the Earth's natural greenhouse
effect is due to water vapor and clouds. Most of the rest is due to carbon dioxide,
methane, and a few other minor gases. While the remaining gases in the atmosphere (e.g.
nitrogen, oxygen) also absorb and emit a small amount of infrared radiation, their
radiative effect on temperature is so weak that they can be neglected. While methane is a
much more potent greenhouse gas than carbon dioxide, there is far less of it in the
atmosphere. Carbon dioxide is the major anthropogenic greenhouse gas, with
atmospheric levels now at almost 450 parts per million.
Mutagen: an agent (as a chemical or various radiations) that tends to increase the
frequency or extent of mutation.
Neurotoxin: a poisonous complex that acts on the nervous system, examples include
heavy metals such as lead and mercury.
Persistent, Bioaccumulative Toxins (PBT’s): Highly toxic pollutants that take a very long
time to break down and travel great distances in the environment; bioaccumulative
meaning they build up in the fatty tissues of organisms, increasing concentration as they
move up the food chain to the top predators. Examples: Halogenated Flame Retardants
(HFRS), Heavy Metals, Perflourinated Compounds (PFC).
Persistent Organic Pollutants (POP’s): highly toxic pollutants that remain in the
environment for a long period of time and are stored in fat. Examples of POPs include
dioxins, PCBs, lead, arsenic, cadmium, mercury and chlorinated pesticides.
Recycling: the process of collecting, sorting, cleaning, treating and reconstituting
materials that would otherwise become solid waste and returning them to a usable
material stream in raw form for new product use in the marketplace.
Reproductive Developmental Toxin: A substance that can cause a decrease in fertility,
increase in birth defects and behavior weaknesses.
Rapidly Renewable Resources: is a product that from the time of planting the seed to
harvesting takes less than 10 years. This includes: many tree varieties, cotton, bamboo,
rubber, etc. (US Green Building Council).
Regenerative: In biology, regeneration is the process of renewal, restoration, and growth
that makes genomes, cells, organs, organisms, and ecosystems resilient to natural
12 fluctuations or events that cause disturbance or damage. Every species is capable of
regeneration, from bacteria to humans.
Renewable Energy: a power resource that can be extracted for its purpose and are able to
regenerate within a reasonable amount of time. Examples include: solar power, wind
power, hydropower.
Sustainability: the capacity to endure. For humans, sustainability is the long-term
maintenance of responsibility, which has environmental, economic, and social
dimensions, and encompasses the concept of stewardship, the responsible management of
resource use. In ecology, sustainability describes how biological systems remain diverse
and productive over time, a necessary precondition for human well-being. Long-lived and
healthy wetlands and forests are examples of sustainable biological systems.
Sustainability is the capability to equitably meet the vital human needs of the present
without compromising the ability of future generations to meet their own needs by
preserving and protecting the area's ecosystems and natural resources. The concept of
sustainability describes a condition in which human use of natural resources, required for
the continuation of life, is in balance with Nature's ability to replenish them. "Sustainable
means using methods, systems and materials that won't deplete resources or harm natural
cycles" (Rosenbaum, 1993). Sustainability "identifies a concept and attitude in
development that looks at a site's natural land, water, and energy resources as integral
aspects of the development" (Vieira,1993). "Sustainability integrates natural systems with
human patterns and celebrates continuity, uniqueness and placemaking" (Early, 1993).
Waste prevention: actions that eliminate or reduce the amount of toxicity of materials
before they enter the municipal waste stream. This action is intended to reduce pollution,
conserve materials, provide guidelines for material selection, and promote efficiency.
13 P.O.#
Ship/Bill to:
Requisition/Purchase Order
The Willow School
Date: 05/22/2012
Ordered: (circle one)
1150 Pottersville Road
Budget Code: 15-12345-00
Gladstone, NJ 07934
Account: Architect
Fax: 908-470-9545
Project : Phase III- HWNC
Credit Card: Y/N
Ph: 908-470-9500
Tax-Exempt #
Farewell Architects
Check Request: Y (attach form)/ N
Order Received:
123 Example Street
Contact: John Doe
Princeton, NJ
Vendor Ph: (908) 123-5432
Vendor Fax:
OK to Pay
(Ea, Bx, Set)
(Qty x Unit Price)
Item Number / Description
Business Office Use Only
Requested By:
Unit Price
Extended Cost
Discount (if applicable - enter amount, not %)
Shipping and Handling
Approved By:
Hilary Clinton
(Please Print)