PACKING SLIP

[Company Name]
[Company Slogan]
[web address]

DATE
CUSTOMER ID

5/5/2015
[12345]

[Street Address]
[City, ST ZIP]
Phone: [000-000-0000]
Fax: [000-000-0000]
BILL TO:
[Name]
[Company Name]
[Street Address]
[City, ST ZIP]
[Phone]
ORDER DATE
1/26/2010
ITEM #
[23423423]
[45645645]

[42]

SHIP TO:
[Name]
[Company Name]
[Street Address]
[City, ST ZIP]
[Phone]
ORDER #
[123456]

PURCHASE ORDER #
[123456]

CUSTOMER CONTACT
Purchasing Dept.

DESCRIPTION
Product XYZ
Product ABC

ORDER QTY
15
1

SHIP QTY
13
1

16

14

TOTAL:

Comments:
Backordered items will ship as they become available

If you have any questions or concerns, please contact

[Name, Phone #, E-mail]

Thank You For Your Business!