Purchase Order SAMPLE 081826.pdf

PDF 1 MB Posted

Attached to
ODFW Wenaha Alfalfa Hay
Solicitation number
S-63500-00017696
Issued by
Oregon

About this file

This is a Purchase Order template from the State of Oregon, Department of Fish and Wildlife (ODFW). The document is designed for procurement of goods and services and includes standard fields for vendor information, item descriptions, quantities, unit prices, and delivery details. The ODFW specifies a ship-to address of 4034 Fairview Industrial Drive SE, Salem, OR 97302. The purchase order format allows for multiple line items with associated costs, includes space for project descriptions and special instructions, and requires authorization signatures from ordered by, approved by, and authorized agent representatives. The document incorporates terms and conditions from price agreements or participating addendums that take precedence over all other conflicting terms.

The purchase order template includes cost distribution fields for tracking expenses across multiple budget indices, cost centers, and object codes, as well as provisions for grant funding allocation. The document allows for calculation of subtotals, shipping costs, and grand totals, with designated spaces for fiscal year designation and delivery date specification. This template is intended for use in connection with the ODFW's intermediate procurement for 100 tons of Alfalfa Hay to be delivered to the Wenaha Wildlife Area, which will be formalized through a purchase order issued following the solicitation process and incorporating all referenced state and federal terms and conditions.

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Text version

P Fiscal Year

Delivery Date: of

Phone: Agency Ship To Address: ODFW

Fax:

BILL TO:

ITEM # QUANTITY UNIT UNIT PRICE

GRAND

TOTAL

Phone #:

Date:

Phone #:

Date:

ITEM # INDEX PCA OBJ. CODE AMOUNT GRANT PH

STATE OF OREGON PO No. PO Date:

PURCHASE ORDER

DESCRIPTION

Contractor FEIN

Page No.FOB:

Vendor/Contractor:

Destination

Specific Site:

Street Address:

City/State/Zip:

4034 Fairview Industrial Drive SE, Salem, OR 97302

Oregon Department of Fish & Wildlife, Accounts Payable

Page 1 Sub-Total

TOTAL PRICE

0.00

Continuation Page

Sub Total

$0.00

COST DIST. GRAND TOTAL

$0.00

COST DISTRIBUTION TOTALS

PAGE 1 Sub-Total

$0.00

SHIPPING

Date:

RECEIVED BY:

Signature:

0.00

$0.00

DATE RECEIVED:

PROJECTDESCRIPTION

SPECIAL INSTRUCTIONS:

ORDERED BY: (Print)

CONTINUATION PAGE Sub-Total

COST DISTRIBUTION (Page 1)

Signature:

AUTHORIZED AGENT:

APPROVED BY:(Print)

Signature:

THE TERMS AND CONDITIONS CONTAINED IN THE PRICE AGREEMENT (or) PARTICIPATING ADDENDUM APPLY TO THIS PURCHASE

AND TAKE PRECEDENCE OVER ALL OTHER CONFLICTING TERMS AND CONDITIONS, EXPRESS OR IMPLIED.

OR THIS PURCHASE ORDER IS PLACED AGAINST STATE OF OREGON PRICE AGREEMENT #

(or) PARTICIPATING ADDENDUM #

THIS PURCHASE ORDER AND THE TERMS AND CONDITIONS ON PAGE 2 CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE

PARTIES. THERE ARE NO OTHER UNDERSTANDINGS, AGREEMENTS OR REPRESENTATIONS, ORAL OR WRITTEN.

SAMPLE

Revised Date: 03/07/13

SAMPLE

File details come from the government source that posted it. Updated .