Purchase Order

VENDOR
MSSRA, Inc
5700 LaMirado DR.
North Little Rock, AR 72118
phone: 855-771-AMEE (2633)
mssra@assessmentmaddeeasy.com
www.assesmentmadeeasy.com
P.O.# 9
ORDER DATE: 21-07-2017



All fields are required.

BILL TO:
SHIP TO:

When completing this section, be sure the person you are shipping to is the same person you want to have access to the Super admin results.



QUANTITY ITEM # DESCRIPTION UNIT PRICE LINE TOTAL
1 872204 TRAC high impact practices solution for campus research $5,898.00 $5,898.00
         
/Sakile K. Camara/

Vendor Signature/ Name

Customer Signature/ Name

Subtotal
$5,898.00
Sales Tax
$0
Shipping Charge
$0
Order Total
$5,898.00

When payment has been received, you will receive an email indicating that your account is now active. E-mails will be sent on Bill To and Ship to email addresses mentioned above.

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