Purchase Order
Sample Purchase Order
School Name
School Address
City, State, ZIP
P.O. Number: 						Date:					
  To:
Vendor Name	
Vendor Address

	

Item  Number	Description	Quantity	Unit Price	Total Amount	

					

Requested By:						  		(Name of Person) (Name of Club) 	Subtotal		
		+ estimated sales tax: 		
		+ estimated shipping charges: 		
		Total of this purchase order: 
	
Notice to the Vendor
Please mail the invoice to the address at the top of the purchase order, care of the ASB Bookkeeper.  Please indicate the purchase order number on the invoice. If all below signatures have not been obtained, this purchase order is not valid. 	
Accounts to be Charged (this section must be completed prior to submittal to the ASB bookkeeper)
Club or Class: 										
Club Account(s) to be Charged:										

Certification
Submitted and Approved by:  
	Student Club Representative:									
	Signature, Title and Date  
	We certify that this request has been approved by ASB or Student Council:
 	Club Advisor:									
Signature, Title and Date
	Principal/School Administrator: 									
			Signature, Title and Date
	Verified by ASB Bookkeeper: 								
		Signature, Title and Date
 Recorded in ASB Student Council Minutes on: 				
		Date