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Goodwill of South Central Ohio
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Purchase Order
Purchase Order
Date
(Required)
MM slash DD slash YYYY
Department
(Required)
ADMIN
Services Center
CARE
FACILITIES AND LOGISTICS
RETAIL
WFD
GNC/Custodial
Childcare
Vendor's Invoice Number
Vendor Name
(Required)
If this is a new vendor, include the phone number and email address.
Vendor Phone Number
Vendor Email
Vendor Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Item Name & Description
Quantity
Unit Price
Amount
Item Name & Description 2
Quantity 2
Unit Price 2
Amount 2
Item Name & Description 3
Quantity 3
Unit Price 3
Amount 3
Item Name & Description 4
Quantity 4
Unit Price 4
Amount 4
Item Name & Description 5
Quantity 5
Unit Price 5
Amount 5
Item Name & Description 6
Quantity 6
Unit Price 6
Amount 6
Item Name & Description 7
Quantity 7
Unit Price 7
Amount 7
Item Name & Description 8
Quantity 8
Unit Price 8
Amount 8
Item Name & Description 9
Quantity 9
Unit Price 9
Amount 9
Item Name & Description 10
Quantity 10
Unit Price 10
Amount 10
Name of Person Submitting PO
(Required)
First
Last
Email of Person Submitting PO
(Required)
Total
PURCHASE BREAKDOWN
(Required)
Outline the purchase category (such as supplies) and breakdown how much should be charged to where. SCENARIO: The purchase was for retail supplies and totaled $804.02. The break down may be: Supplies: $35.24 to eCommerce $85.42 to each of 9 stores
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