[Company Name] Purchase Order
[Company slogan]
[Street Address] P. O. Number:
[Address 2] 100
[City, ST ZIP Code] Date:
[Phone] 10/25/2017
[Fax] Authorized by:
Issued To: Ship via:
[Name]
[Street Address] Ship to attn:
[Address 2]
[City, ST ZIP Code] Ship by date:
[Phone]
Description Price
Subtotal $ -
Tax rate
Sales tax $ -
Other
Total $ -
Employee Signature Date
Purchase order number must appear on all invoices and correspondence.