[Company Name] [Your Company Slogan] [Street Address] [City, ST ZIP Code] Phone [phone] Fax [fax]	PURCHASE ORDER
The following number must appear on all related correspondence, shipping papers, and invoices: P.O. NUMBER: [100]
To: [Recipient Name] [Company Name] [Street Address] [City, ST ZIP Code] Phone [phone]	Ship To: [Recipient Name] [Company Name] [Street Address] [City, ST ZIP Code] Phone [phone]

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

QTY	UNIT	DESCRIPTION	UNIT PRICE	TOTAL
SUBTOTAL
SALES TAX
SHIPPING & HANDLING
OTHER
TOTAL

Please send two copies of your invoice. Enter this order in accordance with the prices, terms, delivery method, and specifications listed above. Please notify us immediately if you are unable to ship as specified. Send all correspondence to: [Name] [Street Address] [City, ST ZIP Code] Phone [phone] Fax [fax]
Authorized by	Date