PURCHASE ORDER

ORDER BY		SHIP TO
	[NAME] [COMPANY NAME] [STREET ADDRESS] [CITY, ST ZIP CODE] [Phone]		[NAME] [COMPANY NAME] [STREET ADDRESS] [CITY, ST ZIP CODE] [Phone]

FEDEX GROUND	FEDEX 3 DAY	FEDEX OVERNIGHT

QTY	ITEM #	DESCRIPTION	UNIT PRICE	LINE TOTAL
			$ 96.00	$0.00
			$ 96.00	$0.00
			$ 96.00	$0.00

			$ 96.00	$0.00
			$ 96.00	$0.00
			$ 96.00	$0.00

			$ 750.00	$0.00

			$ 95.00	$0.00
			$ 95.00	$0.00

			$ 15.00	$0.00
			$ 70.00	$0.00
			$ 70.00	$0.00
** If special pricing has been established for your facility with Safe-T-Scope, pricing will be adjusted accordingly and appear on the order confirmation, which you will receive prior to shipment.			SUBTOTAL	$0.00
			SHIPPING
			TOTAL	0
			DATE	18-05-24
Authorized by: