Company Form 33 for Lake County Indiana

BETA FOR County Forms - click the blue shadow buttons below to see a form by number. Click on The Expand link to show all data for your company or office. Yes, you can have multiple companies.

The first step is to create a Company (or Office if internal Lake County user) as most forms require Company information. Note that you will still have to have your forms notarized. This is beta software so Onyx is not responsible for errors, omissions, or bad data of any form. In other words, you use this at your own risk.

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LAKE COUNTY FORM 33: July 1, 2020

County Form 33 - PURCHASING REQUEST FORM HOUSE ACCOUNT

TO: PURCHASING MANAGER

REQUEST DATE: ________________________________________________________________________________________________________

FROM: ________________________________________________________________________________________________________

PURPOSE OF REQUEST: _________________________________________________________________________________________

ESTABLISH A HOUSE ACCOUNT

1. Name of Vendor________________________________________________________________________________________

2. Address of vendor___________________________________________________________________________________________

3. Why the House Account Contract is the Most Appropriate Purchasing Method to be Used______________________________

_____________________________________________________________________________________________________________

4. General Nature of Supplies Covered By The Quote: __________________________________________________________

________________________________________________________________________________________________________

5. Estimated Frequency Of Use (Number of Times a Month)_________________

6. Are There Other Vendors Who Can Provide This Supply:

YES

7. If Yes, Why Was This Vendor Chosen:

________________________________________________________________________________________________________

8. Estimate of Total Annual Dollar Purchases______$________________

9. PURCHASING MANAGER ACTION

APPROVED DENIED

10. If approved enter the realistic estimate of the dollar amount of the purchase orders must be entered This amount is ______________. Do not enter $10,000 unless this is the estimate because the initial purchase order will encumber that dollar amount in the line item for the supplies

11. Reason For Denial:_______________________________________________________________________________________

________________________________________________________________________________________________________

QUOTE RECEIVED PLUS PURCHASING MANAGER’S SIGNATURE THIS___________DAY OF ___________, 20__FORM THE CONTRACT

SIGNATURE:_______________________________________________________________________________________________