Campus Labs Billing Information Form
Relevant Information for Procurement/Finance
| Institution Name: | Kentucky State University |
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| Primary Contact: | Dr. Michael Dailey |
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| Title: | Dir Distance Learning/Inst. Design |
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| Mailing Address: | 400 East Main Street
Frankfort, KY 40601 |
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| Phone: | 502-597-6238 | Fax: | |
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| Email: | Michael.Dailey@kysu.edu |
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| Send invoices to my attention: | Yes ☐ | No ☐ |
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Billing Contact: Accounts Payable
Title: Rebeccus Persons
Mailing Address: 400 E. Main Street
City, ST ZIP: Bldg. ASB Room 430
Frankfort, KY 40601
Phone: 502-597-6612 Fax:
Email: accounts.payable@Kysu.edu
Will Campus Labs be issued a PO for this requisition? Yes No ☐
Is a Campus Labs invoice required for PO generation? Yes No ☐
PO number is provided: