Purchase Order Form

	Submit Date:
	PO Number:

Vendor

Name

Address

City

State

Zip Code

Phone Number

Ship To

Name

Address

City

State

Zip Code

Phone Number

Items

Quantity	Description	Account #	Unit Price	Total
Sub Total:				$
Shipping & Handling:				$
Total:				$

Prepared By

Approval

Comments

You MUST Use The "Submit PO" button to print your Purchase Order.