[company name] [Company Slogan] [Street Address] [City, ST ZIP Code] [Phone Number] [Fax Number]	Purchase Order
TO: [Purchaser Name] [Company Name] [Street Address] [City, ST ZIP Code] [Phone Number]	SHIP TO: [Recipient Name] [Company Name] [Street Address] [City, ST ZIP Code] [Phone Number]	P.O. Number: [P.O. number] [The P.O. number must appear on all related correspondence, shipping papers, and invoices]
P.O DATE	REQUISITIONER	SHIPPED VIA	F.O.B. POINT	TERMS
Pick the Date
QTY	UNIT	DESCRIPTION	UNIT PRICE	TOTAL
[Description of Item]	$[4.00]	$[4.00]
SUBTOTAL
SALES TAX	[8.2%]
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: [Your name] [Street Address] [City, ST ZIP Code] [Phone Number] [Fax Number]	SHIPPING AND HANDLING
OTHER
TOTAL	$[4.33]
Authorized by [Your Name]	Pick the Date