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PURCHASE ORDER

[Company Name]
[Street Address]
[City, ST ZIP]
Phone: (000) 000-0000
Fax: (000) 000-0000
Website:

DATE
PO #

VENDOR

SHIP TO

[Company Name]
[Contact or Department]
[Street Address]
[City, ST ZIP]
Phone: (000) 000-0000
Fax: (000) 000-0000
REQUISITIONER

[Name]
[Company Name]
[Street Address]
[City, ST ZIP]
[Phone]

SHIP VIA

ITEM #
[23423423]
[45645645]

5/1/2016
[123456]

F.O.B.

SHIPPING TERMS

DESCRIPTION

QTY

Product XYZ
Product ABC

15
1

[42]

Comments or Special Instructions

UNIT PRICE

TOTAL

150.00
75.00

2,250.00
75.00
-

SUBTOTAL

2,325.00

TAX

SHIPPING

OTHER

TOTAL

2,325.00

If you have any questions about this purchase order, please contact
[Name, Phone #, E-mail]

Purchase Order Template


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