ࡱ> AC@` ,bjbj .2P BBBB NT5$7hE: {IwBJ053`33%^LA5> >  Florida Atlantic University REQUEST FOR APPROVAL OF PERQUISITES OR SALE OF GOODS AND SERVICESTO: Office of Human Resources FROM: 1.University Code: FAU2. (Check one) a. New request for approval b. Request to revise existing approval--Request # c. Request to delete existing approval--Request #_________ 3. a. County Code: _______ b. Facility __________________________________________________________ c. Address: 4. CLASSIFICATION INFORMATION: a. Pay Plan b. Class Code c. F.T.E. in Class d. Class Title 5. JUSTIFICATION/REMARKS: a. Required? (Y or N) _____ b. Justification Code: _______ c. Justification Narrative:6. ITEM DESCRIPTION: a. Goods or Services Code: __________ Narrative Description: b. University Item I.D.: 7. PER UNIT COST INFORMATION: b. Annual Cost c. Annual Maint. d. Annual Fair e. Annual Charge f. Monthly Cost a. Class Code to State Allowance Cost Market Value to Employee to State 8. Total Annual Cost for all Positions: _________9. BEGINNING DATE: _________ENDING DATE:_________ 10. BASIS FOR COST DETERMINATION: 11. 12. Requesting Department Date 13. 14.   F L ~ 2 X  b*,/08S()))*,,,P,`,d,h,j,r,,,,,Ƽhk+hh;tCJaJh;tCJaJUh;tCJaJhCJaJh;tCJOJQJ^JaJh;t>*CJaJh;tCJaJh;t5CJ\aJD8 N r`J |+$}&`#$/Ifgd$}&`#$/Ifgd;t# P|+ Pd$}&`#$/If^ `Pgd;tDkd$$Ifd4(x( 6`}x(4 daf4&$ P|+ Pd$}&`#$/If^ `Pa$gd;t,N P Z " $ t ODkd$$Ifd4(x( 6`}x(4 daf47$}&`#$/Ifgd;td$}&`#$/Ifgd;tDkd$$Ifd4(x( 6`}x(4 daf4t u nZ7$}&`#$/Ifgd;t' p@  $}&`#$/If^ `gd;t$}&`#$/Ifgd;td$}&`#$/Ifgd;tDkd$$Ifd4(x( 6`}x(4 daf4 ?_`O=$}&`#$/Ifgd;tDkd$$Ifd4(x( 6`}x(4 daf47$}&`#$/Ifgd;td$}&`#$/Ifgd;tDkd$$Ifd4(x( 6`}x(4 daf4defXX( p@ $}&`#$/If^`gd;td$}&`#$/Ifgd;tDkd"$$Ifd4(x( 6`}x(4 daf47$}&`#$/Ifgd;t$}&`#$/Ifgd;t ;<=>?hTd$}&`#$/Ifgd;tDkd$$Ifd4(x( 6`}x(4 daf47$}&`#$/Ifgd;t$}&`#$/Ifgd;t- # p@ P `!$}&`#$/If^`!`gd;t=Dkd$$Ifd4(x( 6`}x(4 daf47$}&`#$/Ifgd;t$}&`#$/Ifgd;td$}&`#$/Ifgd;tDkd0$$Ifd4(x( 6`}x(4 daf4))?Dkd>$$Ifd4(x( 6`}x(4 daf47$}&`#$/Ifgd;t*  p@ P@$}&`#$/If^`@gd;t$}&`#$/Ifgd;t,  p@ P@d$}&`#$/If^`@gd;t Human Resources Date ACTION TAKEN: a.Approved b.Disapproved 15. By: University Authorized Signature Date  )2,4,6,j,,,,BDkd$$Ifd4(x( 6`}x(4 daf4$}&`#$/Ifgd*  p@ P@$}&`#$/If^`@gd;t$}&`#$/Ifgd;t* p@ d$}&`#$/If^`gd;t,,gd,1h/ =!"#$% }$$If!vh5x(#vx(:V d4 6`}x(,5x(/ 44 df4$$If!vh5x(#vx(:V d4 6`}x(5x(/  / 44 df4$$If!vh5x(#vx(:V d4 6`}x(5x(/  / 44 df4$$If!vh5x(#vx(:V d4 6`}x(5x(/  / 44 df4$$If!vh5x(#vx(:V d4 6`}x(5x(/  / 44 df4$$If!vh5x(#vx(:V d4 6`}x(5x(/  / 44 df4$$If!vh5x(#vx(:V d4 6`}x(5x(/  / 44 df4$$If!vh5x(#vx(:V d4 6`}x(5x(/  / 44 df4$$If!vh5x(#vx(:V d4 6`}x(5x(/  / 44 df4$$If!vh5x(#vx(:V d4 6`}x(5x(/  / 44 df4$$If!vh5x(#vx(:V d4 6`}x(5x(/  / 44 df4w$$If!vh5x(#vx(:V d4 6`}x(5x(/ 44 df4B`B ;tNormal 7$8$H$_HmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k@(No ListP 2^_-tu?_`def;<=>?   L N O R 00 @0 @0@0@0 @0 @0@0 @0 @0@0 @0 @0@0@0@0 @0 @0@0 @0 @0@0@0@0@0@0@0 @0 @0@0@0@0@0@0@0 @0 000 0 @0@0@0 @0 @0@0@0@0@0@0 @0 @0@0@0@0@0@0 @0 0^_tu_`ef>?  L N O R ۊ00x@33 00>@33 00>@"000>@0F00>@0U00 >s3 0 0 >@0$000@00 00 0 >@000>@ 0a53ۊ00>@F0"ۊ00>00000000}00 } 00 , N t ),, , 8@0(  B S  ?  wlL w w$ wLA wDLwܮKww\w\ CCR GGR 8*urn:schemas-microsoft-com:office:smarttagsCity=*urn:schemas-microsoft-com:office:smarttags PlaceType= *urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsplace     R R ^^,/M M O O R R *)#%a {` e# +D;,,h1 h4r<PC2`j;t6K < tA&'N|=Ak+Y( 1PK2^EKP g>0 H^_tu_`ef>?N O R @ &@{@P PP P@P(P,UnknownGz Times New Roman5Symbol3& z ArialKWP IconicSymbolsA"qh23cc!r4dL L 2QHP)?;t2Florida Atlantic University Skye Watanabe Skye WatanabeOh+'0 , L X dpxFlorida Atlantic UniversitySkye WatanabeNormalSkye Watanabe3Microsoft Office Word@It@4PA@]c՜.+,0 hp  Florida Atlantic UniversityL  Florida Atlantic University Title  !#$%&'()*+,-./12345679:;<=>?BRoot Entry FpbUwDData 1Table"3WordDocument.2SummaryInformation(0DocumentSummaryInformation88CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q