Manual Packing and Receiving Equipment Form:
Please fill out this form when a packing slip is missing.
Turn the completed form in to Connie Haynes in the Administrative Office, Room
3901, South Building.
Principal Investigator _______________________________________
Purchase Order Number ______________________________________
Date Received _____________________________________________
Description ________________________________________________
Manufacturer _______________________________________________
Received By _______________________________________________
If this is an asset, also fill out the section below.
For Assets Only ($5000.00 or more)
Model # __________________________________________________
Serial # (when applicable) ____________
Description of the equipment _________________________________
_________________________________________________________
Location of equipment:
Building _____________________ Floor_____ Room #______________
Received By: ________________________________________________