Purchase_Order SAMPLE.pdf
PDF 497 KB Posted
- Attached to
- Klamath Hatchery Rearing Tanks
- Solicitation number
- S-63500-00012456
- Issued by
- Jackson County, Oregon
About this file
This document is a sample Purchase Order from the State of Oregon, specifically issued by the Oregon Department of Fish & Wildlife (ODFW) located at 4034 Fairview Industrial Drive SE in Salem, Oregon. While the purchase order appears to be a template with no specific items, quantities, or pricing filled in, it provides a standard form for government procurement transactions, indicating a systematic approach to purchasing and accounting for goods or services.
The purchase order form includes standard administrative sections for tracking procurement details such as fiscal year, delivery date, vendor/contractor information, cost distribution, and total pricing. The document suggests a structured procurement process with spaces for authorizing signatures, cost allocation, and referencing potential price agreements or participating addendums. The form was last revised on 03/07/13 and provides a framework for documenting government purchasing activities with provisions for maintaining clear financial and contractual records.
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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 .