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Purchase order

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					[COMPANY NAME]
[Company Slogan]
                                                                                                    PURCHASE ORDER
[Street Address]
[City, ST ZIP Code]
[Phone Number]
[Fax Number]




TO:                                                           SHIP T O:                                     P.O. NUMBER:
[Purchaser Name]                                              [Recipient Name]                              [P.O. number]
[Company Name]                                                [Company Name]                                [The P.O. number must appear on
[Street Address]                                              [Street Address]                              all related correspondence,
[City, ST ZIP Code]                                           [City, ST ZIP Code]                           shipping papers, and invoices]
[Phone Number]                                                [Phone Number]




P.O DATE                         REQUISIT IONER                     SHIPPED VIA             F.O.B. POINT           TERMS

Pick the Date


QTY                   UNIT                DESCRIPT ION                                                     UNIT PRICE         TOTAL

                                          [Description of Item]                                                     $[4.00]            $[4.00]




                                                                                            SUBTOTAL

                                                                                            SALES TAX                                  [8.2%]
      1.   Please send two copies of your invoice.                                          SHIPPING AND HANDL ING
      2.   Enter this order in accordance with the prices, terms, delivery
                                                                                            OT HER
           method, and specifications listed above.
      3.   Please notify us immediately if you are unable to ship as                        TOTAL                                     $[4.33]
           specified.
      4.   Send all correspondence to:
           Safia
           [Street Address]
           [City, ST ZIP Code]
           [Phone Number]
           [Fax Number]




                                                                             Authorized by Safia                          Pick the Date

				
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posted:7/23/2011
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