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PURCHASE ORDER

TO: DELIVERY PERIOD


Items specified below shall be delivered within __ calendar days
Attention: after receipt of this purchase order (PO).

ITEM NO. QTY UNIT ITEM AND SPECIFICATION UNIT PRICE TOTAL

TOTAL: Inclusive of all


applicable taxes
APPROVED BY: DATED: SUPPLIER/CONTRACTOR:

________________________ _____________ ____________________________________


General Manager SIGNATURE OVER PRINTED NAME OF
SUPPLIER/CONTRACTOR & DATE

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