Company Name and logo PURCHASE ORDER

Street Address
Zip, city
Phone: PO number
Fax: enter number

VENDOR SHIP TO
Name Name
Company Name Company Name
Street Address Street Address
City, ST ZIP City, ST ZIP
Phone Phone
Email Address
DELIVER TO
Name

PO Number Buyer Date Vendor No Terms

# Part number DESCRIPTION QTY UNIT PRICE

1 1233 Product 1 1 150.00
2 1234 Product 2 4 72.00
3 1235 Service 1 4 50.00

TOTAL NET

Add any comment or other message here like your name, email
or other comments.
CHASE ORDER

PO DATE
11/24/2014

Ship via

AMOUNT
150.00
288.00
200.00
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$ 638.00