<Company Name>

333 Middle River St.

PURCHASE ORDER
Sylmar, CA 91342
(653) 863-8883 521793
info@tshirtrus.com
www.t-shirtrus.com
Date: mm/dd/yyyy

CUSTOMER BILL TO DELIVER TO

Jane Dole John Smith Helen Wilson
T-Shirt R Us <Company Name> MGM Souvenir Shop
631 West Katella Avenue, 123 Riverdale Drive 3799 Las Vegas Blvd S.,
Anaheim, Los Angeles, CA 92802 Las Vegas, Nevada 91000 Las Vegas, NV, 89109, US

START DATE CANCEL DATE ORDERED BY SHIPPED VIA FOB TERMS

mm/dd/yyy
mm/dd/yyyy John Smith UPS Express Walmart Inc. Net 18
y
Unit Description Unit Price ($) Amount ($)
150 White - Men's S/S Crew Tee - Small 3.50 525.00
200 White - Men's S/S Crew Tee - Medium 3.75 750.00
100 White - Men's S/S Crew Tee - Large 4.00 400.00
150 Charcoal - Men's S/S Crew Tee - Small 3.50 525.00
200 Charcoal - Men's S/S Crew Tee - Medium 3.75 750.00
100 Charcoal - Men's S/S Crew Tee - Large 4.00 400.00

APPROVED BY Subtotal ($) 3,350.00

Sales Tax (%) 12 402.00

AUTHORIZED SIGNATORY DATE
Total Amount ($) 3,752.00
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