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Purchase Order
C
o
Your Company Name p
Your Company Slogan y
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Address i
City, State ZIP g
Phone 123.456.7890 Fax 123.456.7891 h
t

The following number must appear on all related E

correspondence, shipping papers, and invoices: n
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P.O. NUMBER: 100 i
s
i
To: Ship To: o
Name Name n
Company Company
Address Address C
City, State ZIP City, State ZIP o
Phone Phone r
p
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P.O. DATE REQUISITIONER SHIPPED VIA F.O.B. POINT TERMS r
a
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n
QTY UNIT DESCRIPTION UNIT PRICE TOTAL .

2
0
0
2
.

A
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SUBTOTAL
r
SALES TAX i
g
SHIPPING & HANDLING h
OTHER t
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TOTAL
r
1. Please send two copies of your invoice. e
2. Enter this order in accordance with the prices, terms, delivery s
method, and specifications listed above. e
3. Please notify us immediately if you are unable to ship as
specified.
r
4. Send all correspondence to:
v
Name e
Address d
Phone 123.456.7890 Fax 123.456.7891 .
Authorized by Date
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