Your Company Name PURCHASE
ORDER
Your Company Slogan
Address
City, State ZIP
Phone 123.456.7890 Fax 123.456.7891
The following number must appear on all related
correspondance, shipping papers, and invoices:
P.O. NUMBER: 100
To: Ship To:
Name Name
Company Company
Address Address
City, State ZIP City, State ZIP
Phone Phone
P.O. DATE REQUISITIONER SHIPPED VIA F.O.B. POINT TERMS
Due on receipt
QUANTITY UNIT DESCRIPTION UNIT PRICE TOTAL
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
SUBTOTAL $ -
TAX RATE 8.60%
SALES TAX -
SHIPPING & HANDLING -
OTHER -
TOTAL $ -
1. Please send two copies of your invoice. AUTHORIZATION
2. Enter this order in accordance with the prices, terms,
delivery method, and specifications listed.
3. Please notify us immediately if you are unable to ship as specified.
4. Send all correspondence to:
Name
Address
Phone: Fax: Authorized by Date
PURCHASE ORDER
Your Company Logo P.O. Number
Requested By:
Department:
Date:
To: Vendor Name Vendor #:
Vendor Address Ship Via:
Vendor City, State, Zip Delivery Fees:
ATTN: Vendor Contact Payment Terms:
Bill to: Your Company Name Ship to: Shipping Address
Your Company Address
Your Company City, State, Zip
ATTN: Contact at Your Company
Item # Quantity Description & Justification Unit Price Total Price
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
Notes: Sub-Total $ -
Plus Tax of Enter % #VALUE!
Total #VALUE!
Autorized by:
Signature
