Copyright Envision Corporation. 2002. All rights reserved.

Protected by the copyright laws of the United States & Canada and by international treaties. ! S ""E#A" A$% S!& C!"' P&() * !E% !( % S!& *U!E+ PU*" S)+ (,,E& ,(& SA"E+ " CE$SE (& SU*" CE$SE+ # -E (& % SC"(SE !( A$' (!)E& PA&!'+ !) S P&(%UC! $ )A&% C(P' (& % # !A" ,(&.. A"" (,,E$%E&S / "" *E SUE% $ A C(U&! (, "A/.

Your Company Name Your Company Slogan Address City, State ZIP Phone 123.45 .!"#$ ,a0 123.45 .!"#1
!he following n12ber 21st appear on all related correspondence+ shipping papers+ and invoices3 P.O. NUMBER: 1$$

Purchase Order

To: Name Company Address City, State ZIP P%one

P.O. DATE REQUISITIONER

Ship To: Name Company Address City, State ZIP P%one

SHIPPED VIA F.O.B. POINT TERMS

QTY

UNIT

DESCRIPTION

UNIT PRICE

TOTAL

SU*!(!A" SA"ES !A4 S) PP $# & )A$%" $# (!)E& TOTAL

1. 2. 3. 4.

Please send two copies of yo1r invoice. Enter this order in accordance with the prices+ ter2s+ delivery 2ethod+ and specifications listed above. Please notify 1s i22ediately if yo1 are 1nable to ship as specified. Send a !o""e#ponden!e $o:

Name Address Phone 123.45 .!"#$

,a0 123.45

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