A form for a purchase order form. It is titled "See Reverse of Purchaser's Copy for Instructions" and has a yellow border. The form is divided into two columns with the left column containing the date and the right column containing a list of items to be filled in by supplier. The first column is for the city and state of the purchase order and the second column is to the supplier's name and address. The items are listed in a table format with columns for the last line the last date and any other relevant information. The table also includes a note that reads "Last Line Completed" and "Must be 10 or less". At the bottom of the form there is a section for the U.S. Official Order Form - Schedules I & II - 140710635 - Supplier's Copy 1. The text is written in black ink on a white background.

Category
Source 1 of 2
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Date
2017
Collection
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Date
2017
Collection
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