Purchase Order Request Form

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PURCHASE ORDER REQUEST FORM
PLEASE FILL OUT THE VENDOR INFORMATION COMPLETELY!
Vendor # (SMCOE only): _________________
Ship to: _______________________________
Vendor Name: ______________________________________
_______________________________
Address:
______________________________________
_______________________________
City/St./ZIP:
______________________________________
_______________________________
Phone #:
______________________________________
Attn: _______________________________
CATALOG
ITEM #
ITEM DESCRIPTION
COLOR
QUANTITY
UNIT
PRICE
TOTAL
PAGE#
1
2
3
4
5
6
7
8
9
10
SUB TOTAL
Student’s Name: _____________________________________
SALES TAX @ 9%*
SHIPPING
*Note:
As of July 1, 2013, shipments made within the city of San Mateo sales tax should be 9.25%.
Shipments to any other city within San Mateo County should be 9%.
GRAND TOTAL
APPROVED BY: __________________________________________
Requested By: ________________________________________
DATE:
__________________________________________
Position:
_______________________________________
District/SMCOE Program: ______________________________
Revised: July 2013

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