[Company Name]

[Street Address]
Purchase Ord
[Address 2]
[City, ST ZIP Code]
[Phone]
[Fax]

Issued By: Issued To:

[Street Address] [Name]
[Address 2] [Street Address]
[City, ST ZIP Code] [Address 2]
[Phone] [City, ST ZIP Code]
[Fax] [Phone]

Description
sample description
sample description
sample description
sample description
sample description

Subtotal
Tax rate
Sales tax
Other
Total

Employee Signature
Purchase order number must appear on all invoices and correspondence.
Purchase Order
P. O. Number:
100
Date:
10/12/2017
Authorized by:

Ship via:

Ship to attn:

Ship by date:

Price
$ 565.00
5,656.00
56,565.00
23,232.00
656,565.00

$ 742,583.00
5.00%
$ 37,129.15
$ 300.00
$ 780,012.15

Date
ust appear on all invoices and correspondence.