DEPT. OF ARTS, SPORT AND TOURISM FMS 1- PAYMENT AUTHORISATION FORM DAST Vote! 35 PROCUREMENT PROCEDURES Department of Finance Sanction Number: DOF 2005 (A copy of the ‘must be filed on the Central Register of Sanctions in the Shared Services Centre. Where the sanction covers more than one contracVorder a record should be maintained by the purchasing division to ensure that the sanction | rexceeded) Tenders = all purchases greater than €6349 must be subject to tender __- please tick below appropriate procurement method used: | Supplier's Purchase Orders Numbers | Suppliers Dilivery Note Numbers ‘rete wi a er te ene) 1 ‘Please tick appropriate box Journal: [ Written Tender: [ Three or Mo ‘Tender Not Applied (give reas¢ o ae [AST Tender Reference Number: | this case. Signed: Date: TCC Number: N/A [7] certify thatthe appropriate procurement procedures have been |_— b) I certify that the procurement procedures were not ap; (Where goods or services to a value of €6,500 or more in any one year are supplied by one trader, a tax clearance certificate must be obtained.) Hi ‘Reason why Tender not applied: ~ GOVERNMENT DEPARTMENT ae Name: TONY MCLAUGHLIN _ | G || Warning — On the instructions of the Account 1ot be processed by the Shared is fully completed. E.U. Invoices When submitin invoices from bbe ascerisned from the supplier "Revenue Commissioners Commodity Code: Mode of transport by which entered Road/Air/Pos EXECUTIVE OFFICER | Officer, app! Services Centre unless this form | ‘Number of tems acquired — ‘Approximate Net Weight excl, Pac