Purchase_Order SAMPLE - 2024 Current~2.pdf
PDF 511 KB Posted
- Solicitation number
- S-63500-00012081
- Issued by
- Lake County, Oregon
About this file
This document is a sample purchase order form from the State of Oregon for the Oregon Department of Fish & Wildlife (ODFW). The purchase order outlines the purchase of various goods or services, including the item number, quantity, unit price, and grand total. The purchase order is placed against a State of Oregon price agreement or participating addendum, indicating a pre-existing contract or framework agreement. The purchase order does not provide details on the scope of work, delivery dates, or other key terms beyond the line-item details.
The purchase order form includes standard cost distribution and authorization information, as well as instructions for shipping, receiving, and invoicing. It does not contain any information about the overall procurement process, set-asides, incumbent vendors, funding sources, or other contextual details beyond the specific purchase transaction captured in this document.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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.
Revised Date: 03/07/13
File details come from the government source that posted it. Updated .