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PURCHASE ORDER

[Your Company Name]


[Your Company Slogan]
[Street Address] [City, ST ZIP Code] [Phone] [Fax] [e-mail] VENDOR [Name] [Company Name] [Street Address] [City, ST ZIP Code] [Phone] SHIPPING METHOD SHIPPING TERMS SHIP TO [Name] [Company Name] [Street Address] [City, ST ZIP Code] [Phone] DELIVERY DATE

P.O. NO. DATE CUSTOMER ID

[100] February3,2012 [ABC12345]

QTY

ITEM #

DESCRIPTION

JOB

UNIT PRICE

LINE TOTAL () ()

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]

SUBTOTAL ( ) SALES TAX TOTAL

()

()

(Authorized by )

(Date )

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]

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