PURCHASE ORDER

<Company Name>
<Street Address>
<City>, <State> <Zip>

PO Number:
PO Date:
Vendor ID:

Purchase From:
<Vendor Name>
<Vendor Street Address>
<City>, <State> <Zip>

Ship To:
<Company Name>
<Company Street Address>
<City>, <State> <Zip>

Contact Name:
<Name>
Shipping Method
<UPS>
Item Description
<Item
<Item
<Item
<Item
<Item
<Item
<Item
<Item
<Item
<Item

Contact Name:
<Name>
Payment Terms
<Net 30 Days>
Quantity

1>
2>
3>
4>
5>
6>
7>
8>
9>
10>

Approved By:
X

<12345>
<7/15/2009>
<Vendor ID>

_____________________________________________________

Required By Date
<Date>
Unit Price
Amount
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00

$
$
$
$
$
$
$
$
$
$

5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00

$
$
$
$
$
$
$
$
$
$

5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00

Subtotal $
Freight
Sales Tax
Order Total $

50.00
5.00
3.00
58.00