Sample Purchase_Order.pdf
PDF 535 KB Posted
- Attached to
- Rock Creek Electric Fish Pump
- Solicitation number
- S-63500-00016653
- Issued by
- Douglas County, Jacksonville City, Oregon
About this file
This is a Purchase Order form issued by the State of Oregon Department of Fish & Wildlife (ODFW). The document serves as a standardized template for procuring goods and services, with fields designated for vendor information, item descriptions, quantities, unit prices, and delivery details. The purchase order references either a State of Oregon Price Agreement or Participating Addendum that governs the terms and conditions of the transaction. The form includes sections for project descriptions, special instructions, cost distribution coding by fiscal year, and shipping information, with a specified ship-to address of 4034 Fairview Industrial Drive SE, Salem, OR 97302.
The purchase order requires authorization signatures from the ordering agent and an approved authorized agent before execution. Pricing is calculated through itemized unit costs with grand total and cost distribution totals displayed prominently. The document explicitly states that terms and conditions contained in any referenced price agreement or participating addendum take precedence over all other conflicting terms and conditions. This template establishes the complete agreement between the parties with no other oral or written understandings unless separately documented.
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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
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.
PROJECTDESCRIPTION
SPECIAL INSTRUCTIONS:
ORDERED BY: (Print)
CONTINUATION PAGE Sub-Total
COST DISTRIBUTION (Page 1)
Signature:
AUTHORIZED AGENT:
APPROVED BY:(Print) Signature:
$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:
Page 1 Sub-Total
TOTAL PRICE
0.00
Continuation Page Sub Total
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
STATE OF OREGON PO No. PO Date:
PURCHASE ORDER
Revised Date: 03/07/13
PO
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