2025 General - Blue - Purchase Order Form

General - Blue - Purchase Order Form
Swink School District
610 Columbia Ave

PO Box 487

Swink CO, 81077

Phone: 719-384-8103

Fax: 719-384-5471

Tax Exempt: 98-03388
Requested by:*

First NameLast Name
Email*
example@example.com
Vendor*
VENDER'S Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
VENDER'S Phone Number
VENDER'S Fax Number
Date to Order*

MonthDayYear
Date

Items

	Item #	Description	Price ($)	Quantity	Amount ($)
1
2
3
4
5
6
7
8
9
10

Subtotal
We are non-Tax
Shipping & Handling ($)
Total Amount
Account Number*
Additional explanation or comments.
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