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This document is a purchase order dated July 13, 2020, from [Company Name] to vendor Tobii Dynavox for two products: Product XYZ (15 units) and Product ABC (1 unit). The total cost of the order is $2,325.00, which includes a subtotal and no additional tax or shipping charges listed.

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[Company Name] PURCHASE ORDER

[Street Address] DATE 7/13/2020

[City, ST ZIP] PO # 123456
Phone: (000) 000-0000
Fax: (000) 000-0000
Website:

VENDOR SHIP TO
Tobii Dynavox [Name]
2100 Wharton St. Suite 400 [Company Name]
Pittsburgh, PA 15203 [Street Address]
Phone: (800) 344-1778 [City, ST ZIP]
[Phone]

ITEM # DESCRIPTION QTY UNIT PRICE TOTAL

[23423423] Product XYZ 15 150.00 2,250.00
[45645645] Product ABC 1 75.00 75.00

SUBTOTAL 2,325.00
Comments or Special Instructions TAX
Thank you for your business. SHIPPING
OTHER

TOTAL $2,325.00

If you have any questions about this purchase order, please contact
[Name, Phone #, E-mail]

Signature:___________________________________________ Date:_______________________

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[Company Name] PURCHASE ORDER

[Street Address] DATE 7/13/2020

ITEM # DESCRIPTION QTY UNIT PRICE TOTAL

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