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Date

AP Code

Dept. #

RTV# (Do not enter "R")

Destroyed in Field
Merchandise Returned to Vendor

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Vendor Email

Buyer

Bill To:

Bill To 2:

Address Line 1

Address Line 2

City

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Zip Code

Carrier

B/L #

Vendor #

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Carton Count

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Shipping

Description

QTY

Unit

Ext. Cost

SKU/Model

Description

QTY.

Cost

SKU/Model

Description

QTY.

Cost

SKU/Model

Description

QTY.

Cost

SKU/Model

Description

QTY.

Cost

TOTAL

Comments

Reimbursement

Layout #

General Corporate Wage

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General Corporate Wage

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