po.doc
DOC document 98 KB Posted
- Attached to
- E-Licensing
- Solicitation number
- S116333-vCurrent
- Issued by
- Middlesex County, Suffolk County, Boston City, Chelsea City, Massachusetts
About this file
This document is a Commonwealth of Massachusetts Purchase Order for Commodities and/or Services. It outlines a contract opportunity for the provision of commodities or services, including details such as the purchase order number, contract number, requested delivery date, vendor information, ship-to and bill-to department details, and line item descriptions with quantities and unit prices. The purchase order also includes instructions to the vendor regarding invoicing requirements, delivery terms, and inspection of commodities upon receipt. If the purchase order is for the provision of services, the vendor must sign the form to acknowledge the engagement of services, which includes a description of the services, dates of service, number of hours, and hourly rates.
The pricing terms indicate that the total order amount includes any prompt payment discounts. There are no details provided regarding any set-asides, incumbents, funding requirements or sources, or other salient information.
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Text version
Commonwealth of Massachusetts
Purchase Order for Commodities and/or Services
| * |
| FORMCHECKBOX |
Commodity/Equipment
FORMCHECKBOX
Service this purchase order confirms an order that was previously placed. please do not duplicate.
*Purchase Order Issue Date:
FORMTEXT
*Purchase Order Number:
FORMTEXT
FORMTEXT
Contract Number:
FORMTEXT
FORMTEXT
Requested Delivery Date:
FORMTEXT
Call to Schedule Delivery Appointment:
FORMCHECKBOX
yes (tel.
FORMTEXT
) FORMCHECKBOX
no Freight Terms:
FORMCHECKBOX
Freight on Board - Destination
FORMCHECKBOX
Other (Specify)______________
Vendor Information
*Name:
FORMTEXT
FORMTEXT
*Address:
FORMTEXT
FORMTEXT
*City, State, Zip Code:
Contact Person:
FORMTEXT
Telephone:
FORMTEXT
Fax:
FORMTEXT
Email:
FORMTEXT
Quote Number (if applicable):
FORMTEXT
Department Information
*Ship to Department Name:
FORMTEXT
*Contact Person:
FORMTEXT
*Address:
FORMTEXT
*City, State, Zip Code:
FORMTEXT
*Telephone:
FORMTEXT
Email:
FORMTEXT
Delivery Instructions:
FORMTEXT
FORMTEXT
*Bill to Department Name:
FORMTEXT
*Contact Person:
FORMTEXT
*Address:
FORMTEXT
*City, State, Zip Code:
FORMTEXT
FORMTEXT
FORMTEXT
FORMTEXT
Telephone:
FORMTEXT
Email:
FORMTEXT
Prompt Payment Discount (Terms & %):
FORMTEXT
Instructions to the Vendor:
1. The vendor’s invoice must include the following minimum information: Purchase order number, quantity and description of item(s) shipped, unit of measure, unit price, total dollar amount of any discount, total price and the vendor’s invoice number.
2. The purchase order number must appear on the vendor’s packing list.
3. See attached specifications, if any, related to this purchase order. If this purchase order is for services, please see the section entitled Engagement of Services below. Additional specifications are not necessary if the details of the performance are covered in the contract.
4. Vendor assumes risk of loss for commodities in transit. All commodities are subject to inspection upon delivery. Commodities delivered after the Requested Delivery Date above may be rejected. Rejected commodities will be returned at the vendor’s expense.
* Engagement of Services (may be required for services): If this Purchase Order is for the provision of services which have been negotiated with the vendor, provide a brief description here of those services (attach detailed specifications, if appropriate). Also, include the dates of service, the number of hours and the hourly rates associated with this engagement. The vendor must sign this form for the engagement of services. Note: This form or additional specifications are not required if the RFR and contract contain all of the required Purchase Order information.
| Line # |
| Vendor Item Number |
| Item |
Description
| Unit of Measure |
| Quantity |
| Unit Price |
| Subtotal (Quantity x Unit Price) |
| ** Discount |
| Total Price (Subtotal minus Discount) |
| 1 |
| 2 |
| 3 |
Department Approval
Signature: _________________________________ *Printed Name:
FORMTEXT
FORMTEXT
FORMTEXT
*Date:
Subtotal:
Shipping and Handling:
Total Order Amount:
* Vendor Approval (only required for the Engagement of Services) *Signature: ________________________________ *Printed Name:
FORMTEXT
*Date:
* Indicates required field.
** Discount includes any Prompt Payment Discounts.
File details come from the government source that posted it. Updated .