To Order Call: 800-510-2436   FAX: 530-725-7989

Page 9

purchase order

Date: May 22, 2009

PO #

 

BILLING

 

VENDOR

FABCHEM COLORS

2377 Gold Meadow Way Suite 100]

Rancho Cordova, CA 95670         

[800-510-2436

FAX 1.530.725.7989

 

 

 

shipping method

shipping terms

delivery date

 

 

 

 

qty

item #

description

unit price

line total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

Sales Tax

 

Total

 

Please send two copies of your invoice.

Enter this order in accordance with the prices, terms, delivery method, and specifications listed above.

Please notify us immediately if you are unable to ship as specified.

Send all correspondence to:

 

 

 

Authorized by

Date