Purchase Order

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                        SHIP
                                                   Purchase Order                                                          and Packages Pertaining to This
                                                                                                                                       Order
                         TO

Ship to: [MUST BE VALID UO ADDRESS]

Bill to: [MUST BE VALID UO ADDRESS]
         Commodity Code                      Index                Account Code           Fiscal Yr      Bid Number               Purchase Order Date


Vendor
[FULL LEGAL NAME OF VENDOR AND FULL BUSINESS ADDRESS]



Shipping Instructions                                            Delivery Required By:
F.O.B. University (Incoterms 2000)
Item No.                                        Description                                           Quantity     Unit     Unit Price         Total Price
    X        Copier ($204.00 per month times 48 months)                                                  1         each     $9,792.00           $9,792.00

    X        Finisher ($54.60 per month times 48 months                                                  1         each      $2,620.80          $2,620.80

    X        Total Copy Cost Not To Exceed (1000 per month times 48 months)                            48000       each       $0.007            $ 336.00




             Rental Term: 48 months
             Toner/Maintenance: $.007/copy
             Estimated Copies Per Month ______




             This purchase is placed against State of Oregon Solicitation #XXXXXXX and Price
             Agreement #XXXX. The contract terms and conditions and special contract terms
             and conditions (T's & C's) contained in the price agreement are hereby incorporated
             by reference and shall apply to this purchase and shall take precedence over all other
             conflicting T's & C's express or implied, except as regards any provisions relating to
             exclusivity of the contract. OUS is not bound by exclusivity provisions.




                                                                        TOTAL NOT TO EXCEED                                                    $12,748.80




        By providing goods or services under this Purchase Order, vendor agrees to the Purchase Order Standard Terms and Conditions found at
        http://pcs.uoregon.edu/content/forms and by this reference incorporated into this Contract.
        By providing goods or services under this Purchase Order, vendor agrees to the terms and conditions of the contract referenced above and by that
        reference incorporated into this Contract
Vendor shall invoice University only upon completion of this order. Prepay all transportation charges unless otherwise stated. If transportation is billed as a
separate item, receipted freight bill must accompany invoice. State of Oregon is not subject to federal excise tax.
Prepared By:                                       Phone Ext.              Other Approvals:                                Phone Ext.


Funds Authorized By:                               Phone Ext.              Purchase Order Signature Approval:                Phone Ext.




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