[company name]

[Company Slogan]

[Street Address]
[City, ST ZIP Code]

[Phone Number]

[Fax Number]

Purchase Order

 

 

 

TO:

[Purchaser Name]

[Company Name]

[Street Address]

[City, ST  ZIP Code]

[Phone Number]

SHIP TO:

[Recipient Name]

[Company Name]

[Street Address]

[City, ST  ZIP Code]

[Phone Number]

P.O. Number:

[P.O. number]

[The P.O. number must appear on all related correspondence, shipping papers, and invoices]

 

 

 

 

P.O DATE

REQUISITIONER

SHIPPED VIA

F.O.B. POINT

TERMS

 

Pick the Date

 

 

 

 

 

 

 

QTY

UNIT

DESCRIPTION

UNIT PRICE

TOTAL

 

 

 

[Description of Item]

$[4.00]

$[4.00]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUBTOTAL

 

 

SALES TAX

[8.2%]

 

[Street Address]
[City, ST ZIP Code]

[Phone Number]

[Fax Number]

 

SHIPPING AND HANDLING

 

 

OTHER

 

 

TOTAL

$[4.33]

 

 

 

 

 

Pick the Date

                             

 

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