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STATE OF CALIFORNIA <br />DEPARTMENT OF GENERAL SERVICES <br />PROCUREMENT DIVISION <br />Contract (Mandatory) 1-23-23-22 A-D & F-G <br />Contract User Instructions, *Supplement 5* <br />10. PURCHASE EXECUTION <br />A. State Departments <br />1) Std. 65 Purchase Documents <br />State departments not transacting in FISCAL must use the Purchasing Authority <br />Purchase Order (Std. 65) for purchase execution. An electronic version of the Std. <br />65 is available at the Office of State Publishing web site: <br />https://www.dgsapps.dqs.ca.gov/osp/StatewideFormsWeb/Forms.aspx (select <br />Standard Forms). <br />All Purchasing Authority Purchase Orders (Std. 65) must contain the following: <br />• Agency Order Number (Purchase Order Number) <br />• Ordering Agency Name <br />• Agency Billing Code <br />• Purchasing Authority Number <br />• Leveraged Procurement Number (Contract Number) <br />• Supplier Information (Contact Name, Address, Phone Number, Fax Number, <br />E-mail) <br />• Line Item number <br />• Quantity <br />• Unit of Measure <br />• Commodity Code Number <br />• Product Description <br />• Unit Price <br />• Extension Price <br />• Office of Fleet and Asset Management (OFAM) Approval Stamp (State <br />departments only) <br />2) FISCAL Purchase Documents <br />State departments transacting in FISCAL will follow the FISCAL procurement and <br />contracting procedures. <br />3) Blanket Orders <br />The use of blanket orders against these statewide contracts are not allowed. <br />B. Local Governmental Agencies <br />Local governmental agencies may use their own purchase document for purchase <br />execution. The purchase documents must include the same data elements as listed <br />above (Exception: Purchasing Authority Number is used by State departments only). <br />ContracOjtq36'&j4-D & F-G Page $ — 14 1 /16/292/45/2023* <br />User Instructions <br />