Purchase Order Copy

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The Purchase Order is provided to the vendor as a record of the Purchase.

A sample Purchase Order Copy follows. The following numbers correspond to the numbers on the sample form.

Sample PO Copy
This is in Adobe PDF form. If you do not have Adobe Acrobat Reader download it below.

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1. Purchase Order Number

The number assigned to the purchase order. (Used for departmental record keeping.)

2. Supplier Name and Address

The complete name and address of the individual or company which supplied the merchandise.

3. Ship To

Receiving Department address, i.e., UAB Receiving, Hospital Receiving, Maintenance, etc.

4. Deliver To

Name and location of the individual who requested the ordered goods.

5. Date

The date the purchase order was originated.

6. Payment Terms

Payment terms defined by Purchasing Department.

7. Ship Via

Shipping instructions entered by Purchasing Department.

8. F.O.B.

Shipping terms defined by Purchasing Department.

9. Freight Terms

Freight terms defined by Purchasing Department.

10. P. O. Line No.

The sequential line number which corresponds with the line on the requisition (i.e., the first item would be line 1, the second would be line 2, etc.).

11. Quantity

The quantity of the item being purchased.

12. UOP

Unit of Purchase. The packaging of the item to be purchased (i.e., each, box, package, dozen, etc.).

13. Unit Price

The unit price of the item ordered.

14. Extended Price

The total of the quantity of the item multiplied by its unit price.

15. Description

The complete description, in detail, of the item ordered.

16. Total

The total amount of all items on the purchase order.

17. For Questions Concerning This Purchase Order, Contact:

The buyer's name and telephone number to contact for questions concerning this purchase order.