KENT COUNTY WINES	PURCHASE ORDER
40 Richmond Street

Chatham, ON N7M 1N6

Tel (519) 360-1811

Fax :(519) 360-1950:
TO:	P. O. NUMBER	[Purchase Order Number]
[To]	DATE	[Date]
REQUISITIONED BY	[Requisitioned By]
SHIP BY	[Ship By]
SHIP VIA	[Ship Via]
F.O.B.	[F.O.B.]
TERMS	[Terms]
SHIP TO:
[Ship To]
Purchase order number must appear

on all forms relating to this order.
QTY	UNIT	DESCRIPTION	PRICE	AMOUNT
SUBTOTAL	0.00
FREIGHT	10.00
TAX RATE	7.000%
TAX	0.70
$10.70
TOTAL DUE
Authorized by	Date