Research Corporation of the University of Hawaiʻi

[Project Letterhead]
Date:
To: Research Corporation of the University of Hawaii Project Administration

From: Email/Phone:

Re: Additional inventory information Project#:
PO#:
Amount:

Vendor: Payment Request #:

Item #1
Item #2
Item #3
1. DESCRIPTION – Use generic names; (e.g. 3COM CELL PLEX = Interface card)

2. BRAND NAME & MODEL NUMBER – If none state NONE

3. SERIAL NUMBER – If none, state NONE

4. COST OF ITEM

5. BUILDING NAME AND ROOM NO. (Location of Equipment)

6. EQUIPMENT COMPONENT: If additional component can Cost is
≥$1,000 and item will be incorporated or attached to a host/parent equipment item, provide Decal# or PO# of host/parent Standalone. (If not applicable, state N/A)

7. FABRICATED EQUIPMENT:
(a) If initial purchase provide end product name (b) If attention to fabrication, provide Decal# or PO# of Initial fabrication purchase (If not applicable, state N/A in both (a) and (b))
(a) Product Name
(a) Product Name
(a) Product Name

(b) Decal# or PO#
(b) Decal# or PO#
(b) Decal# or PO#

8. EQUIPMENT RECEIVED DATE

(Rev 05/16)