Purchase Order

[Your Company Name]

Date:

July 21, 2015

[Your Company Slogan Here]

P.O. #:

[100]

Customer ID:

[ABC12345]

Vendor

Ship to

[Name]

[Name]

[Company Name]

[Company Name]

[Street Address]

[Street Address]

[City, ST ZIP Code]

[City, ST ZIP Code]

[Phone]

[Phone]

Shipping Method

Shipping Terms

Qty

Description

Item #

Delivery Date

Job

Unit Price

Line Total

Subtotal
1. Please send two copies of your invoice.
2. Enter this order in accordance with the prices, terms, delivery method, and
specifications listed above.
3. Please notifiy us immediately if you are unable to ship as specified.
4. Send all correspondence to:
[Name]
[Street Address]
[City, ST ZIP Code]
[Phone]
[Fax]

Sales Tax
Total

Authorized by

[Street Address], [City, ST ZIP Code] [Phone] [Fax] [E-mail]

Date