ABC Company Inc.

PURCHASE ORDER
1234 Main Street This number must appear on all packing slips,
Yourtown 12345 shipping documents, packages and invoices.
Attn: Jane Smith CONFIRMATION
Phone: 222-1234 ORDER !10024!
Fax: 222-4321
Page Number Purchase Order Date
1 of 1 JUL/20/2014

Supplier Ship-to
Sales Department Steve Green
Japan Computer Supply Company ABC Company - Receiving Dock
Odakyu Minami-Aoyama Bldg. 99F 1234 Main Street, 1st Floor
9-7-2 Minami Aoyama, Minato-k Yourtown 12345
Tokyo japan 107-0062
Phone: 222-1234
Phone: +813-3499-0099 Fax: 222-4321
Fax: +813-3499-0009

TERMS F.O.B DELIVERY NOTE REQUESTED BY REQ. NO.

NET 30 DELIVERED FULL

LN QUANTITY DESCRIPTION DELIVERY PRICE/UNIT EXTENSION

1 3 EA Standard PC configuration #1 AUG/03/2014 65,600.00/EA 196,800.00

With monitor and mouse.

Windows operating system pre-loaded.
1 year parts and labor warranty.

2 1 EACH FREIGHT CHARGE AUG/03/2014 19,680.00/EACH 19,680.00

Tax 1: 0.00
Tax 2: 10,824.00

** DRAFT COPY - DO NOT PROCESS ** Total: ¥227,304.00

YEN

Sample PO form - can be customized to your needs.

(1) Invoice each P.O. separately in duplicate showing the above P.O. number and
shipping information.
(2) All duty and/or taxes must be shown separately on invoice where applicable.
(3) This order is subject to the terms and conditions stated.
Sample user with full access

Supplier's Copy
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