Purchase Order Form

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Purchase Order
Date: _______________
Vendor
Vendor
Vendor
Vendor: : : :
Ship To
Ship To
Ship To
Ship To: : : :
Shipping Method
Shipping Method
Shipping Method
Shipping Method
Shipping Terms
Shipping Terms
Shipping Terms
Shipping Terms
Delivery Date
Delivery Date
Delivery Date
Delivery Date
Qty
Qty
Item #
Item #
Description
Description
Job
Job
Unit Price
Unit Price
Line Total
Line Total
Qty
Qty
Item #
Item #
Description
Description
Job
Job
Unit Price
Unit Price
Line Total
Line Total
Total Due
Total Due
Total Due
Total Due
Sales Tax
Sales Tax
Sales Tax
Sales Tax
Total
Total
Total
Total
1.
Please send two copies of your invoice.
2.
Enter this order in accordance with the prices, terms,
delivery method, and specifications listed above.
3.
Please notify us immediately if you are unable to ship as
specified.
4.
Send all correspondence to:
Authorized by
Date
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