PURCHASE ORDER

PO # :
PO Date :

To : [Company Name] Ship To : [Company Name]

[Company Address] [Company Address]
[City, ST, ZIP Code] [City, ST, ZIP Code]
Attn : Attn :
Phone : Phone :
Fax : Fax :
Email : Email :

FOB Shipped Via Payment Term

Item No Description Qty Unit Price Total

Remarks : Subtotal
Tax 3%
Freight
Total

Company System Inc.

8030 Harrington Rd, Miami, USA | Ph 555-555-1234 | Fax 555-555-4321 | info@companywebsite.com