Texas Tech University Department of Chemistry and Biochemistry Partial / Complete Receiving Report (Please circle Partial or Complete) Purchase Order No. Vendor Name Shown Purchase Order Account No. Item No. Account Name Description I certify that the goods and/or services described above have been received as shown. Unless noted otherwise, all items are satisfactory and due for payment. Signature in ink by authorized person Date Received Qty. Unit Condition Acceptable Unless Indicated Otherwise INSTRUCTIONS: Please staple the Packing Slips to the Receiving Report and take them to the Business Office (Room203) on the same day that the shipment arrives.