PURCHASE ORDER
[Your Company Slogan]                                                                                        Date: January 27, 2010
                                                                                                                         PO # [100]
                                                Vendor                             [Name]      Ship To                          [Name]
                                                                        [Company Name]                               [Company Name]
                                                                         [Street Address]                             [Street Address]
                                                                       [City, ST ZIP Code]                          [City, ST ZIP Code]
                                                                                   [Phone]                                      [Phone]
                                                                  Customer ID [ABC12345]                                   Customer ID
                                                                                                                            [ABC12345]
Shipping Method                                               Shipping Terms                                         Delivery Date
Qty            Item #          Description                              Job                   Unit Price             Line Total
                                                                                                         Subtotal
                                                                                                      Sales Tax
                                                                                                            Total
1.    Please send two copies of your invoice.
2.    Enter this order in accordance with the prices, terms, delivery
      method, and specifications listed above.
3.    Please notify us immediately if you are unable to ship as
      specified.
4.    Send all correspondence to:
      [Name]
      [Street Address]
      [City, ST ZIP Code]
      Phone [000.000.0000]                                                    Authorized by                            Date
      Fax [000.000.0000]
          [Your Company Name] [Street Address], [City, ST ZIP Code] Phone [000.000.0000] Fax [000.000.0000]
                                                        [e-mail]