[COMPANYNAME][CompanySlogan][StreetAddress][City,STZIPCode][PhoneNumber][FaxNumber]PURCHASEORDERTO:[PurchaserName][CompanyName][StreetAddress][City,STZIPCode][PhoneNumber]SHIPTO:[RecipientName][CompanyName][StreetAddress][City,STZIPCode][PhoneNumber]P.O.NUMBER:[P.O.number][TheP.O.numbermustappearonallrelatedcorrespondence,shippingpapers,andinvoices]P.ODATEREQUISITIONERSHIPPEDVIAF.O.B.POINTTERMSPicktheDateQTYUNITDESCRIPTIONUNITPRICETOTAL[DescriptionofItem]$[4.00]$[4.00]SUBTOTALSALESTAX[8.2%]1.Pleasesendtwocopiesofyourinvoice.2.Enterthisorderinaccordancewiththeprices,terms,deliverymethod,andspecificationslistedabove.3.Pleasenotifyusimmediatelyifyouareunabletoshipasspecified.4.Sendallcorrespondenceto:lk3df9jfd[StreetAddress][City,STZIPCode][PhoneNumber][FaxNumber]SHIPPINGANDHANDLINGOTHERTOTAL$[4.33]Authorizedbylk3df9jfdPicktheDate