Criteria For Evaluating Copying Equipment

This form must be printed and completed.

Contact Person Contract Number
Phone Number Requested By
Machine Location X________________________ Authorized Signature
Copier Requested Vendor
Acquisition Method   Replacement For
If Replacement, Date Current Equipment was Acquired
Purchase Price Current Value

Reason/Justifications for Purchase  

Disposition of Replaced Equipment    Trade-in     Surplus   Other

A. Monthly volume is determined by maintaining a thirty (30) day log and/or three (3) consecutive monthly invoices.

Current Equipment Proposed Equipment
Machine Make/Model
Average Monthly Volume  
Machine Copies Per Minute 

Machine Features

Current
Yes      No     

Proposed
Yes      No     

Auto Document Feed 

       

       

Reduction Capability

       

       

Two-sided Copying

       

       

Sorting/Collating

       

       

Control Monitor

       

       

Auditron Key

       

       

Production Logs

       

       

Average Travel Distance to Copier (recommended NOT more than 200 feet or 2 minutes away)

Current Equipment Proposed Equipment
Distance Feet
Distance Minutes

B.  Monthly cost is determined by averaging cost data from three (3) consecutive monthly invoices.

Current Equipment Proposed Equipment
Average Monthly Lease Price 
Avg. Monthly Copy Charge
Purchase Price
Amortized Over 60 Months
Installation Cost
Installation Cost
Removal Cost
________________ ________________
TOTAL COSTS
Cost Difference  (plus)

Is additional cost justified by need? (short explanation)
 

Additional comments
 

Business Services Use

Approved by_____________________________________________     Date__________________
Director of Business Services

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E-mail Questions                                  

Once this form is complete, print it, have authorized agent sign the top of the form and fax to Ext 7-2666.