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. DEPAiM`MENT ORDER WORKSFiEE•T ' ~ <br /> - ~ r' <br /> OFiDSR NO. ~ <br /> DVSW 2 GENERAL ~DESCRIPTIC~N 2, . C-"~. rq.yv <br /> Authorized ~ - • <br /> by _ / "/~2~ " ~n1~/A ~'P ..Pay K~,th' attached `invoice <br /> . i. <br /> - ~ Received .by ~Ns~~RS~ e..~ Prepayn~t . <br /> Date. merchandise.: received ~ <br /> . - .Separate Check <br /> - - - . <br /> Ven~dor~name and address if not cn invoice ~ F~oute for <br /> <br /> ~ - /~~n~S ~r4..~NaScAPF' <br /> . ~ ~ ~ Vendor Code <br /> • ~ Commodity code _ ~ • <br /> • <br /> ~.~?o <br /> S2u~tity .c7nit Price $ Total - 702 J <br /> Description ~11..u~lTi r~ G - ~ . <br /> • <br /> Account Code ACCOUt1t At110U~t <br /> ~~1~ _rl'.~3Z `Co1~35'~ Q•BS/lo~~ $ ~~5~ <br /> • $ <br /> S <br /> S <br /> _ $ <br /> S - <br /> Page of <br /> <br />