COTTONWOOD-OAK CREEK SCHOOL DISTRICT NO. 6 ATTN: WAREHOUSE SUPERVISOR 570 E. MINGUS AVENUE COTTONWOOD, AZ 86326 (928) 634-7287

RETURN TO VENDOR FORM DATE: ______________________________________

NAME OF VENDOR: _________________________________

REQUESTOR: ________________________________

ADDRESS OF VENDOR: ______________________________ ___________________________________________________ ___________________________________________________

SITE:

CES

CMS

DDB

OCS

TES

OTHER SITE: ______________________________

PURCHASE ORDER #: _______________________________

REASON FOR RETURN: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ITEM(S) TO BE RETURNED (PLEASE LIST): 1.____________________________________________________________________________________________________ 2.____________________________________________________________________________________________________ 3.____________________________________________________________________________________________________ 4.____________________________________________________________________________________________________ -ORALL ITEMS ON P.O. ****************************************************************************************************** VENDOR’S INSTRUCTIONS FOR RETURN: VENDOR REPRESENTATIVE _________________________________________________ AUTHORIZING RETURN: _________________________________________________ _________________________________________________ _______________________________________________ NAME AUTHORIZATION # __________________________________________________ ________________________________________________ DATE RETURNED FOR:

EXCHANGE

REPAIR

CREDIT

RETURN TO:

ADDRESS:

__________________________________________________

________________________________________________

__________________________________________________

________________________________________________

INSTRUCTIONS: Send one copy to Becky in Purchasing; one copy to Cindy in Accounts Payable; keep one copy for your file; original to Fred Patterson, Warehouse Supervisor, along with returned item(s). ----------------------------------------------------------------------------------------------------------------------------- --------------------------FOR COCSD WAREHOUSE ONLY: DATE OF RETURN: ______________________________ VIA: ______________________________________________ TRACKING NUMBER: ___________________________ COMMENTS: ______________________________________ DMS026 Revised 12/10 rw

RETURN TO VENDOR FORM.pdf

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