Purchase Order

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[COMPANY NAME]

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

TO: SHIP TO: P.O. NUMBER:


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

P.O DATE REQUISITIONER SHIPPED VIA F.O.B. POINT TERMS

QTY UNIT DESCRIPTION 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 HANDLING
2. Enter this order in accordance with the prices, terms, delivery method,
and specifications listed above. OTHER
3. Please notify us immediately if you are unable to ship as specified.
4. Send all correspondence to: TOTAL $[4.33]
EVGENIY GODOVANETS
[Street Address]
[City, ST ZIP Code]
[Phone Number]
[Fax Number]

Authorized by EVGENIY GODOVANETS

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