PURCHASE ORDER FORM

2463 Tripadi Way
Hayward, CA 94545
Phone: (408) 988-0101
Fax: (510) 634-7075
P.O. NO.: {{poNumber}}
Date
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P.O. Category
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Requestor
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Project Name
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Assigned to Departments
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Truck Number
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Payment Method
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Billable to Clients
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Vendor Name Description Quantity Unit Price Line Total
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Subtotal {{subtotal}}
Sales Tax {{tax}}
Discount {{discount}}
Comments: {{comments}} Total {{total}}
Authorized by Date