Purchase_Order SAMPLE - 2024 Current~5.pdf
PDF 511 KB Posted
- Attached to
- Lidar Component for WWMP Drone
- Solicitation number
- S-63500-00015737
- Issued by
- Marion County, Oregon
About this file
This is a Purchase Order template form used by the State of Oregon, specifically the Oregon Department of Fish & Wildlife (ODFW), for procurement transactions. The document serves as a standardized template for recording purchase orders issued by the agency to contractors and vendors. The form includes fields for vendor/contractor information, delivery addresses, item descriptions, quantities, unit prices, and cost distribution across multiple line items. The purchase order references compliance with existing state price agreements or participating addendums, which take precedence over any other conflicting terms and conditions. The template accommodates multiple pages for continuation of line items and cost distributions, with designated spaces for authorized agent approval, ordered-by personnel, and receiving documentation with signature and date fields.
The purchase order form does not contain specific pricing information, quantities, or contract terms in this sample version, as all monetary fields display placeholder values of $0.00 and the item description section is blank. The document is designed to work in conjunction with pre-established state of Oregon price agreements or participating addendums that define the applicable terms, conditions, and pricing for individual purchases. Cost distribution is tracked through index, project code, and object code entries to facilitate proper accounting and grant allocation across the agency's fiscal year budget.
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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.
Revised Date: 03/07/13
File details come from the government source that posted it. Updated .