Purchase Order

Golden Panther Booster Club, Inc.

A 501 ( c ) (3) Organization

Federal Tax ID Number: 59-2846616

FL Sales Tax Exemption Certificate Number: 65-06-025757-85C

200 Solana Road, Ste. C

Ponte Vedra Beach, FL 32082

Purchase Order No.:_______________________________

Date: _____

Description of Product or Service:

_____________________________________________________________________

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_____________________________________________________________________

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Date Needed:_____________________________________

Deliver to:_______________________________________

________________________________________________

________________________________________________

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Authorized by:

Title: Sport: ___________________

F:data/word/Golden Panthers Booster Club, Inc./Purchase Order.doc