Small Purchase Log Use this form for CSFP and TEFAP purchases with a total aggregate cost of less than the simplified purchase threshold that are not micro-purchases. CE Name: ____________________________ Procurement Year: ________ Product(s)/Service(s) to Be Procured: Description: Technical Specifications Quantity: Delivery Frequency/Location(s): Contractor/Supplier Name & Contact Contractor/Supplier Name & Contact Contractor/Supplier Name & Contact Information: Information: Information: Contact Date: Contact Method: Contact Date: Contact Method: Contact Date: Contact Method: Unit Price: Extended Price: Unit Price: Extended Price: Unit Price: Extended Price: Contractor/ Supplier Notes: Notes: Notes: Information Check if the Contractor/Supplier Check if the Contractor/Supplier Check if the Contractor/Supplier Was Awarded the Contract Was Awarded the Contract Was Awarded the Contract Signature of Person Completing This Form: Date: _____________________________________________________________ _________________
Small Purchase Log Use this form for CSFP and TEFAP purchases with a total aggregate cost of less than the simplified purchase threshold that are not micro-purchases. CE Name: ____________________________ Procurement Year: ________ Technical Specifications Product(s)/Service(s) to Be Procured: Description: Quantity: Delivery Frequency/Location(s): Contractor/ Supplier Information Contractor/Supplier Name & Contact Information: Contractor/Supplier Name & Contact Information: Contractor/Supplier Name & Contact Information: Contact Date: Contact Method: Contact Date: Contact Method: Contact Date: Contact Method: Unit Price: Extended Price: Unit Price: Extended Price: Unit Price: Extended Price: Notes: Notes: Notes: Check if the Contractor/Supplier Was Awarded the Contract Check if the Contractor/Supplier Was Awarded the Contract Check if the Contractor/Supplier Was Awarded the Contract Signature of Person Completing This Form: Date: _____________________________________________________________ _________________
Form_CSFP-TEFAP_Procurement_SmallPurchaseLog_V100_180706.docx