PurchaseOrder.doc

DOC document 97 KB Posted

Attached to
IT Accessibility Services
Contract number
ITS61
Issued by
Massachusetts

About this file

This document is a blank Commonwealth of Massachusetts Purchase Order template for commodities and/or services. The form is designed for state procurement processes, providing a standardized framework for documenting vendor transactions, with fields for vendor information, department details, delivery instructions, and purchase specifics. While the specific document is an unfilled template, it represents an official state government procurement instrument.

The purchase order template includes provisions for capturing critical transactional details such as line item descriptions, quantities, unit prices, total order amounts, and vendor engagement terms. Key administrative requirements include vendors submitting invoices with specific minimum information (purchase order number, item descriptions, pricing details), mandatory packing list requirements, and provisions for commodity inspection and potential rejection. The form accommodates both commodity/equipment purchases and service engagements, with sections for detailed service specification, hourly rates, and service dates when applicable. The document emphasizes administrative controls like required signatures, comprehensive documentation, and clear vendor performance expectations.

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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.

Sensitivity level - low

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