You are on page 1of 1

________________________

________________________,
PURCHASE ORDER
________________________,
________________________
________________________
Phone: ________________________
________________________

P.O. # ________________________
ORDER DATE: ________________________
________________________ ________________________
VENDO ________________________ SHIP TO ________________________
R
________________________, ________________________
________________________ ________________________,
________________________ ________________________
________________________ ________________________
________________________ ________________________
________________________

SHIPPING SERVICE SHIPPING METHOD DELIVERY DATE

________________________ ________________________ ________________________

LINE
QUANTITY ITEM # DESCRIPTION UNIT PRICE TOTA
L
_____________________ _____________________ _____________________ _____________________ $0.0
___ ___ ___ ___ 0

Subtotal ________________________
Sales Tax ________________________
Shipping Charge ________________________
Order Total $0.00

Vendor Signature

Customer Signature

You might also like