Purchase Order
Prepared for:
[Client.FirstName][Client.LastName]
[Client.Company]
Created by:
[Sender.FirstName][Sender.LastName]
[Sender.Company]
PURCHASE ORDER
Order Information
Purchase Order No.:
Number:
Date:
Version No.:
Issued By:
[Sender.Company]
[Sender.StreetAddress]
POC:
[Sender.FirstName]
[Sender.LastName]
Vendor:
[Client.Company]
Ship To:
Client ship to address
Bill To:
Client bill to address
Payment Terms:
Shipping Terms:
LINE ITEM NO. 1
Vendor Part No.:
[Sender.Company]
Part No.:
Description:
Quantity:
Unit of Measure:
Unit Price:
Extended Price:
Taxes:
[Sender.Company]
Ref. No.:
Delivery Due Date:
Line Item Notes:
LINE ITEM NO. 2
Vendor Part No.:
[Sender.Company] Part No.:
Description:
Quantity:
Unit of Measure:
Unit Price:
Extended Price:
Taxes:
[Sender.Company]
Ref. No.:
Delivery Due Date:
Line Item Notes:
Total Cost:
Dollar amount
Notes:
This purchase order may be accepted by means of any performance, in whole or in part, of this purchase order, which acceptance constitutes unqualified agreement to all terms and conditions contained
Should the Vendor identified herein propose any additional or different terms, such terms shall not be binding upon
[Sender.Company]
except to the extent
[Sender.Company]
expressly agrees to such additional or different terms in writing.
All invoices must reference the purchase order number, version number (if applicable), line item number, quantity shipped and the unit price.
[Sender.Company]
Signature
MM/DD/YYYY
[Sender.FirstName][Sender.LastName]
[Client.Company]
Signature
MM/DD/YYYY
[Client.FirstName][Client.LastName]
