Purchase Order

PURCHASE

ORDER

____________________

_______________________

___________________________ DATE:_________









PO Number _____





To: Ship To:

Name Name

Company Company

Address Address

City, State ZIP City, State ZIP

Phone Phone







DATE REQUISITIONER SHIPPER F.O.B. POINT TERMS

Cash, Credit,Charge







QUANTITY UNIT DESCRIPTION UNIT PRICE TOTAL

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

SUBTOTAL $ -

APPROVAL TAX RATE

SALES TAX -

SHIPPING & HANDLING -

OTHER -

TOTAL $ -









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