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<br />USE THE AREA BELOW ONLY TO RECORD,PARTIAL SHIPMENTS` ` ` j
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<br />DATE REC D BY~~ IT. 1~ - . ..; .: . ~ I I ' . , . ', . ~
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<br />~~IT 2 IT.~3 IT. 4 R 5 1T.,6 IT 7 IT B IT. 9; .IT.'~10. -
<br />~ ' ~ ~ AUTHORIZED BY i / '
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<br />, . ~ ~ ~ ~ GTY~M ~ NA OR'PURCHA§ING AGENT4'~'µ""""
<br />I CERTIFY THAT ALL OFiTHE ABOVE L1STED GOODS, MATERIALS AND
<br />. ' ,; ~.. ~~. .,. . `, • S H .
<br />" UPPLIES`HAVE BEEN. RECEIVED IN THE QUANTITIES S OWN HEREON''
<br />,. . . .. .. , . ... . . , ,-. ,
<br />.. . ~ . ' ~ . . ~. ~TITLE ' ~ DATE - ~~ . ~ '
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<br />,< THE ABOVEtISTED GOODS HAVING BEEN RECEIVED,"THE DEPARTMENT -
<br />,: • ~• ~ • ` ` ` OF FINANCE :IS HEREBY'DIRECTED 70:PAY INVOICES W TME AMOUNT `
<br />~ ., , ;' ` " _ . .. ~.~' . . • .
<br />SHOWN `HEREON,.:CHARGING THE ACTIVITY ACCOUNTS A5 CODED'. ~
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<br />.., ~ ,.' 'ABOVE. , ,
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<br />~`. FORM P-OI REV. 6 8S ..• ~ ~ . . . . . ~ ' ... , . . . ..: "' ' : ~ . -r' . . :. '~ . ~: ~~DEPARTMENT~HEAD SIGNATURE, ~ ~ DATE . . .. .
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