PO

Your Business Name

CBC PURCHASE ORDER

Name*

Email Address*

DATE REQUESTED*

DESCRIPTION *

VENDOR NAME*

VENDOR ADDRESS*

QUANTITY & TOTAL COST *

Please list the amount and total cost to be purchased.

ACCOUNT*

PLEASE LIST THE ACCOUNT THAT APPLIES. ex. Building maintenance, Office, youth...

PAYMENT TYPE*

CREDIT/DEBTCHECKCASHREIMBURSMENT

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