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Items being received against a Purchase Order is indicated by adding those items to inventory. This process confirms that the goods have physically arrived and are now available for use or sale. When items are marked as received in the system, it often involves updating inventory levels to reflect the new stock available, thus providing a clear and immediate acknowledgment that the transaction has been completed.

This practice is essential within a financial environment because it ensures that the accounting records match the actual inventory on hand, contributing to accurate financial reporting and effective inventory management. The receipt of items typically leads to a corresponding increase in inventory assets on the balance sheet, which is a significant event in the purchasing process.

The other options highlight different aspects of the procurement and financial process but do not specifically signify that the items have been received. For example, invoice creation pertains to billing rather than inventory movement, updating the Purchase Order status could reflect many changes, and generating a credit memo deals with returns or adjustments rather than confirmations of received goods. Thus, the action of adding items to inventory is the definitive indicator of received goods against a Purchase Order.