https://www.quickbase.com/up/bdhzeparp/g/rb/eg/va/juiced02_300x80.jpg                                                                                                PURCHASE ORDER

 

PO Date:

~PO Date~

PO #:

~PO Number~

Created:

~116~

 

Vendor:

 

Ship To:

~Vendor Name~                     

 

~Client Name~

~Vendor Address~

 

~Client Address~

~Vendor City~, ~Vendor State~ ~Vendor Zip~

 

~Client City~, ~Client State~ ~Client Zip~

 

Shipping Method

Delivery Date

 

~Shipping Method~

~Delivery Date~

~75~

Client

Project

~Client Name~

~Project Name~

 

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Subtotal

~Subtotal~

Taxable Subtotal

~Taxable subtotal~

Sales Tax

~Sales Tax~

 

Total

~Total~

1. Enter this order in accordance with the prices, terms, delivery method and specification listed above.

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

3.Send all correspondence to Juiced Technologies, Inc. at the address below.

 

 ~Terms~

 

 

 

 

Authorized By                                   Date

Juiced Technologies, Inc.      3505 Veterans Hwy, Suite O    Ronkonkoma, NY 11779          Ph 631.617.5060         Fax 631.617.5062