Company Name and logo                                            PURCHASE ORDER
Street Address
Zip, city
Phone:                                                                   PO number
Fax:                                                                     enter number
   VENDOR                                                            SHIP TO
Name                                                            Name
Company Name                                                    Company Name
Street Address                                                  Street Address
City, ST ZIP                                                    City, ST ZIP
Phone                                                           Phone
Email Address
                                                                     DELIVER TO
                                                                Name
   PO Number             Buyer                 Date      Vendor No              Terms
   #   Part number       DESCRIPTION                              QTY        UNIT PRICE
  1        1233       Product 1                                      1                  150.00
  2        1234       Product 2                                      4                   72.00
  3        1235       Service 1                                      4                   50.00
                                                                     TOTAL NET
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CHASE ORDER
        PO DATE
        11/24/2014
        Ship via
        AMOUNT
                   150.00
                   288.00
                   200.00
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    $           638.00