PURCHASE ORDER
<Street Address>
, <State>
PO Number: PO Date: Vendor ID:
Purchase From:
, <State>
Ship To:
, <State>
Name:
Shipping Method
Item Description
<12345> <7/15/2009>
Name:
Required By Date
Unit Price Amount
Payment
Quantity
-
-
-
-
-
-
-
-
-
-
Approved By: X _____________________________________________________
1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
$ $ $ $ $ $ $ $ $ $
5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00
$ $ $ $ $ $ $ $ $ $
5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00
Subtotal $ Freight Sales Tax Order Total $
50.00 5.00 3.00 58.00