PURCHASE ORDER

The following number must appear on all related
correspondence, shipping papers, and invoices:

P.O. NUMBER:

To:

Ship To:

P.O. DATE

REQUISITIONER

SHIPPED VIA

F.O.B. POINT

TERMS

12/27/05

Stephanie

QTY

UNIT

DESCRIPTION

UNIT PRICE

TOTAL

COMMENTS:

SUBTOTAL

SALES TAX

SHIPPING & HANDLING

OTHER

0

TOTAL

1.     Please notify us immediately if you are unable to ship as specified.

2.     Send all correspondence to:

Authorized by

Date