Purchase Order #Purchase Order Agreement • September 19th, 2019 • West Virginia
The following certification must be completed and signed if the vendor is a full-time employee of the State of West Virginia. Please check the appropriate box below:
Purchase Order #Purchase Order Agreement • September 19th, 2019 • West Virginia
The following certification must be completed and signed if the vendor is a full-time employee of the State of West Virginia. Please check the appropriate box below:
Purchase Order #Purchase Order Agreement • September 19th, 2019 • West Virginia
The following certification must be completed and signed if the vendor is a full-time employee of the State of West Virginia. Please check the appropriate box below:
Purchase Order #Purchase Order Agreement • September 19th, 2019 • West Virginia
The following certification must be completed and signed if the vendor is a full-time employee of the State of West Virginia. Please check the appropriate box below:
Purchase Order #Purchase Order Agreement • September 19th, 2019 • West Virginia
The following certification must be completed and signed if the vendor is a full-time employee of the State of West Virginia. Please check the appropriate box below:
Purchase Order #Purchase Order Agreement • September 19th, 2019 • West Virginia
Authorized Travel Expenses: Will not be reimbursed. OR Will be reimbursed in accordance with the travel regulations of the institution, not to exceed:The following certification must be completed and signed if the vendor is a full-time employee of the State of West Virginia. Please check the appropriate box below: I am not currently a full-time employee of the State of West Virginia; I am currently a full-time employee of the State of West Virginia (complete certification below).It is hereby certified that the services to be performed under this agreement will not interfere with or detract from the full-time duties of the employee and the amount of annual compensation received by the above named vendor from the State of West Virginia for full-time employment during the current fiscal year will be$ _. The vendor serves as _ _ _(Position)with the title of _ _, certified by .(Supervisor's Signature)