Purchase Order by shellto1

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									Your Company Name                                          Purchase Order
Your Address
City, State ZIP
Phone 123.456.7890 Fax 123.456.7891

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




      QTY          UNIT                    DESCRIPTION                          UNIT PRICE         TOTAL




                                                                                SUBTOTAL
                                                                               SALES TAX
                                                                                    SHIPPING
                                                                                      OTHER

                                                                                      TOTAL    $




Authorized By: __________________________________________________


Signature: _____________________________________________________        Date: ______ / ______ / 20______

								
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