[VENDOR'S NAME] [VENDOR'S ADDRESS] [DATE] [PRODUCT 1 DESCRIPTION] [QUANTITY] [PRICE PER UNIT] [TOTAL AMOUNT] [PRODUCT 2 DESCRIPTION] [QUANTITY] [PRICE PER UNIT] [TOTAL AMOUNT] [PRODUCT 3 DESCRIPTION] [QUANTITY] [PRICE PER UNIT] [TOTAL AMOUNT] [SUBTOTAL] [TAX] [TOTAL]