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  • Capital Expenditure Request Form

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    Mohamed Ismail
    594 views1 page
    This document is a capital expenditure request form. It requests funding for a project and provides details such as the project name, account number, estimated costs, source of funds, a description and justification of the project, its effect on operations, equipment details if applicable, and approval signatures from relevant departments. It aims to clearly outline expenditure requests for review and approval.

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    11_CER_Capital_Expenditure_Request_Form

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    This document is a capital expenditure request form. It requests funding for a project and provides details such as the project name, account number, estimated costs, source of funds, a description and justification of the project, its effect on operations, equipment details if applicable, and approval signatures from relevant departments. It aims to clearly outline expenditure requests for review and approval.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    594 views1 page

    Capital Expenditure Request Form

    Uploaded by

    Mohamed Ismail
    This document is a capital expenditure request form. It requests funding for a project and provides details such as the project name, account number, estimated costs, source of funds, a description and justification of the project, its effect on operations, equipment details if applicable, and approval signatures from relevant departments. It aims to clearly outline expenditure requests for review and approval.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    CAPITAL EXPENDITURE REQUEST FORM

    BUDGET NO. DATE:


    BUDGET DESCRIPTION: REQUESTED BY:
    PROJECT NAME: Replacement Equipment ? Yes No
    PROJECT ACCT: If no:
    CER AMOUNT: Revenue Generating? Yes No
    SOURCE OF FUNDS: If yes attach proforma.
    (list ALL sources)
    If recommended for lease rather than purchase, check box
    and complete and attach explanation and evaluation.
    BRIEF PROJECT DESCRIPTION AND JUSTIFICATION

    EFFECT ON OPERATIONS
    List all other costs associated with the approval of this request such as additional staffing, maintenance agreements, supplies, etc..

    COMPLETE THIS SECTION FOR ALL EQUIPMENT REQUESTS


    Number of Units Manufacturer Model Number

    VICE PRESIDENT APROVAL

    Approved by:_________________________________________ Date:_________________

    TO BE COMPLETED BY FINANCE
    PROJECT CATEGORY Budget Amt. CER Amount
    Date
    Professional Fees CAC: / / Approved
    Construction / / Approved with
    Equipment & Furniture Modification
    Permits & Fees / / Disapproved
    Project Administration
    Other C&D Comments:
    Pre CER Expenditures (CIP)
    Capitalized Interest
    Land Purchase
    Other (Non-C&D)

    TOTAL PROJECT COST RO RO


    REVIEW AND APPROVAL
    CFO Date CEO / COO Date

    MATERIALS MANAGEMENT Date PMO Date

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