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Member of the National Association ofEducational Procurement.PROCUREMENT & SUPPLIER DIVERSITY SERVICESCARRUTHERS HALL RM 270 (POB 400202)1001 N EMMET STCharlottesville, VA 22904-4202Phone: 434-924-4212Fax: 434-982-2690Page Number:Printed Purchase Order(example)SUPPLIER: SUPPLIER NAMESUPPLIER ADDRESSSUPPLIER CITY, STATE, ZIPUnited StatesShip goods or servicesPayment Terms000000Net 30 daysOrder Date: PO DATERevision: 0Revision Date:to this addressTHIS PURCHASE ORDER NUMBER MUST BE QUOTED ONALL INVOICES AND CORRESPONDENCE OR INVOICESWILL BE DISCARDED.INVOICE TO: ACCOUNTS PAYABLEPO BOX sville,VA 22904-4197FOBSendShipaddressViainvoice to thismethod: emailUVAContract Numbervendor-invoices@virginia.edu)Freight TermsDestination(preferredBuyer NameDelivery Location CodeSAMPLEShannon WamplerSAMPLE11 of 1EXAMPLE PO NUMBERRequestor Phone: PO REQUESTER PHONE #Buyer TelephoneLINENO.Purchase Order:Requested By: PO REQUESTERSHIP TO: UNIVERSITY OF VIRGINIAPROCUREMENT & SUPPLIER DIVERSITY SERVICESCARRUTHERS HALL RM 270 (POB 400202)1001 N EMMET STCharlottesville,VA 22904-4202Supplier No.Purchase OrderPART NUMBER / DESCRIPTIONUse your supplier number tolog in to the Vendor InvoiceLookupYour #:naITEM INFORMATIONNEED BYDATEDATEQUANTITY UNIT5.00 EachUNIT PRICEAMOUNT3001,500.00Shipment1PTAEO: INTERNAL BILLING INFORMATIONThis purchase order will be governed by the University Purchasing terms and conditions,a copy of which may be obtained from the Procurement Services web site(www.virginia.edu/procurement).All prices and amounts on this order are expressed in USDFor questions call the buyer listed above.TotalAUTHORIZED SIGNATURE 1,500.00
Marketplace PO(example)PO/Reference No.SupplierAdd Non-Catalog ItemStatus Purchase Order Revisions PO Approvals Shipments Receipts Invoices History?SummaryHide headerHide value descriptionsGeneral InformationPO/Reference No.Revision No.0Supplier NameWe Sell Stuff, Inc.Supplier Number 1234Address123 Main St.Suite 1Hometown, NC27560United StatesPhone 1 555-555-5555Supplier Fax No. 1 555-555-6666Purchase eline D CoeUniversityContact Phone 1 555-555-5555UniversityContact Emailadc9r@Virginia.EDUOrder Deliveryabc123Shipping InformationBilling/PaymentShip ToBill Tono addressno addressShipTo AddressCode999BillTo AddressCodeSupplierNumberDeliveryOptions999Credit Card InfoShip ViaRequired ByDate2/27/2020Billing OptionsAccounting Date 2/27/2020Payment Terms10% 10, Net 30F.O.B.Description of abc123Contract Number abc123Description of abc123Freight Termsabc123Description of abc123Distribution InformationSupplier InformationDistribution MethodsSupplier InformationYour UVa Marketplace notification contains the official orderdistribution method for your order. The distribution below is thesystem default distribution for this vendor. Please review yournotification to determine whether you need to deliver the PO to thevendor.ContractQuote number13525674Fax(555) 555-5555Note to Supplierno noteEmail (HTML Body)support@sciquest.comAttachments for supplierAccount CodePricing Code Justification.docDistribution Options Google
Fax PO(example)Purchase OrderPurchase Order DatePO/Reference No.Revision No.Feb 27, 2020SQPO-123450Delivery InformationRequired By DateFeb 27, 2020PROCUREMENT & SUPPLIERDIVERSITY SERVICESShip ViaBest Carrier-2nd DayFreight Termsabc123CARRUTHERS HALL, (POB 400202)1001 N EMMET STCharlottesville, VA 22904-4202Phone: 434-924-4212 Fax: 434-982-2690Buyer InformationNational Association of Educational ProcurementDescription of abc123University Contact NameAdeline D CoeUniversity Contact Phone 1 555-555-5555University Contact Emailadc9r@Virginia.EDUVendors may look up their invoice payment status for the past90 days at http://tinyurl.com/uvainvOrder acceptance instructions:Attention: Vendor please confirm receipt of this order, pricing and availability of ALL orderedproducts by return fax to (555) 555-5555 at once to prevent payment problems and delays.Supplier InformationSupplier NameWe Sell Stuff, Inc.Supplier Number1234Address123 Main St.Suite 1Hometown, NC 27560United StatesDuns No.123456789Phone 1 555-555-5555Fax 1 555-555-6666Contract Numberabc123Delivery InformationDelivery AddressUniversity Of VirginiaShipping InstructionsGENERAL SHIPPINGInsert UVA Purchase Order# in one of the referencefields or address field. Allshipments are FOBDestination in the mosteconomical way unlessexpedited shipping isspecifically requested bythe buyer or required forthe item.NO SHIPPINGCHARGESIf no shipping chargesapply, ship via yourpreferred method.SMALL PACKAGESIf small package shippingcharges apply, bill thirdparty to UVA's UPS#### or FedEx#####Ship-to contact line James1SupplierNumberShip-to contact line Third Floor2Ship-to contact line Shipping Department3Ship-to contact line HeadQuarters4Ship-to contact line Suite 1005Description of abc123123 Main st5151McCrimmonParkwaySuite 216LTL SHIPPINGHometown, NC 27587United StatesShipTo AddressCodeLine No.Product Description1 of 4Sample product description999Catalog No.Size /PackagingABC-123Commodity Code1234Reference Numberabc123Description of abc123100g50/PKAttachments for ity2 PKExt.Price40.00
External Note2 of 4LINECANCELLEDThis is a very long supplier note. This is a very long supplier note. This is a very long supplier note. This is avery long supplier note. This is a very long supplier note. This is a very long supplier note. This is a verylong supplier note. This is a very long supplier note. This is a very long supplier note. This is a very longsupplier note. LINE CANCELLED Sample product descriptionABC-123Supplier Part Auxiliary ID100g50/PK20.002 PK40.00partidCommodity Code1234Reference Numberabc123Attachments for supplierJustification.docDescription of abc123GoogleExternal NoteThis is a very long supplier note. This is a very long supplier note. This is a very long supplier note. This is avery long supplier note. This is a very long supplier note. This is a very long supplier note. This is a verylong supplier note. This is a very long supplier note. This is a very long supplier note. This is a very longsupplier note.3 of 4 LINE MODIFIED (see Purchase Order Historybelow) Sample product descriptionABC-123Commodity Code1234Reference Numberabc123100g50/PK20.002 PK40.00Attachments for supplierJustification.docDescription of abc123GoogleExternal Note4 of 4This is a very long supplier note. This is a very long supplier note. This is a very long supplier note. This is avery long supplier note. This is a very long supplier note. This is a very long supplier note. This is a verylong supplier note. This is a very long supplier note. This is a very long supplier note. This is a very longsupplier note. LINE ADDED Sample product descriptionABC-123ADDITIONAL 4name2value2Attachments2 PK40.00file1.txtfile2.txtfile3.txtCommodity Code1234Reference Numberabc123Description of abc123Attachments for supplierJustification.docGoogleExternal NoteThis is a very long supplier note. This is a very long supplier note. This is a very long supplier note. This is a very longsupplier note. This is a very long supplier note. This is a very long supplier note. This is a very long supplier note. This isa very long supplier note. This is a very long supplier note. This is a very long supplier note.This purchase order will be governed by the University's Purchasing Terms and Conditions, a copy of which can beTotal80.00 USD
obtained from Procurement Services website (www.virginia.edu/procurement). See above for specific shippinginstructions.Billing InformationPayment TermsBilling Address10% 10, Net 30F.O.B.Bill-to contact line 1John DoeBill-to contact line 2First FloorBill-to contact line 3Billing DepartmentBill-to contact line 4HeadQuartersBill-to contact line 5Suite 100123 Main st5151McCrimmonParkwaySuite 216Hometown, NC 27587United StatesUniversity Of VirginiaThe supplier must send a separate original invoice following each shipment for this purchase order. This purchase order number must be on all invoices orthe invoice will be discarded.Purchase Order HistoryLineNo.Date/TimeUserActionField NameFromTo2/27/2020Adeline D CoePO modifiedOrder acceptanceinstructionsPlease call for confirmation12/27/2020Adeline D CoePO modifiedTaxablefalsetrue12/27/2020Adeline D CoePO modifiedTaxablefalsetrue
Supplier Terms andConditionsT&C.doc (1,024k)Order acceptanceinstructionsAttention: Vendor please confirmreceipt of this order, pricing andavailabilty of ALL ordered pr.more.Order acceptance instructionsare overriddenAccounting CodesUser does not have the necessary permissions to view the custom fields associated with this section.Line Item Details?Hide line detailsAdd non-catalog item.CatalogNoProduct Description1Sample product descriptionABC123Size /Packaging100g50/PKUnitQuantityPrice20.002Ext. Price40.00 USDPricediffersfromcontract(ContractPrice: 19.99)ManufacturerNameManufacturerNameManufacturer Part 123-456NumberCAS renceNumberabc123Description ofabc123External Note This is a very longsupplier note.This is a very longsupplier note.This is a very longsupplie.more.Attachments for supplier Justification.doc Google2Sample product descriptionABC123100g50/PK20.00240.00 USDPricediffersfromcontract(ContractPrice: 19.99)ManufacturerNameManufacturerNameManufacturer Part 123-456CommodityCode1234Referenceabc123External Note This is a very longsupplier note.This is a very long
NumberNumberCAS Number584-79-2Radionuclide32Psupplier note.This is a very longsupplie.Description ofabc123more.Attachments for supplier Justification.doc GoogleShipping, Handling and Tax charges are calculated and charged by each supplier. Noestimate is provided here but the amounts will be included on the supplier invoice. Vendorsmay have minimum order size requirements.Total80.00 USD
Educational Procurement. Purchase Order. PROCUREMENT & SUPPLIER DIVERSITY SERVICES CARRUTHERS HALL RM 270 (POB 400202) 1001 N EMMET ST Charlottesville, VA 22904-4202 Phone: 434-924-4212 Fax: 434-982-2690. SUPPLIER: SUPPLIER NAME SUPPLIER ADDRESS SUPPLIER CITY, STATE, ZIP United States. Page Number:
