[Business Name]

[Address: -----------------------------------------------------]
[Phone (000) 000-0000]
[Fax (000) 000-0000]

Packing Slip Template

Order Date:

[Month day, Year]

Date:

Order Number:

[000000 00 00]

Customer Contact: [(000) 000-0000]

Purchase
Order:

[PO # 0000-000000-00]

Customer Account: [0000]

[Complete address ----------------------------------------------------------------------------------------------]

Bill To:

Ship To:

Part #

Description

[Month day, Year]

[Complete address
---------------------------------------------------------------------------------]

Unit Type

Order
Quantity

Ship
Quantity

Backorder
Quantity

000-#0000

-----------------------------------------------------

[Set/Unit]

15

000-#0000

-----------------------------------------------------

[Package]

000-#0000

-----------------------------------------------------

[Each]

Comments:

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