P
FINANCE
PROCUREMENT SERVICES
DELAWARE STATE UNIVERSITY
Delaware State University
Purchasing Card (P-Card) Application
Dept. ID#:
DSU ID#:
First Name:
(type or print)
Last Name:
(type or print)
Business Phone:
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)
Date of Birth (00/00/0000):
Business E-mail:
Department Name:
Building Name:
Building #:
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$5,000
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Signatures
Applicant Name (Printed)
(Signature)
(Date)
Department Approval Name (Printed)
(Signature)
(Date)
Procurement Services Office Use Only
Date Ordered _____________
By:____________
January 2015