_ <br /> t <br /> , <br /> . DEPARTMENT ORDER WORKSHEET . <br /> • ' • ORDER NO..^y ~DO2oo ~ ~ ~ ~ <br /> ! <br /> DVSW GENERAL DESCRIPTION _ ~~~L,~ S <br /> Authorized - ' ' . <br /> by ~1~ ~/v` . Pay ~ with ~ attached `invoice <br /> • ~ Received .by = ~ ~.F"' iV~.Ee v n> ~ 'Pre a : t' ' <br /> p ymeitt <br /> Date. merchandise received ~ - Eiae " <br /> ,Separate Check <br /> <br /> ~ - <br /> Vendor name and address if not on invoice ~ RAUte for <br /> ~Z.~rV ~ , <br /> . - - Vendor Code <br /> Commodity code ~ ~~D- 3'~0 <br /> Quanti Onit P ice - ~ <br /> tY ~ $ Tota <br /> . <br /> J <br /> Description Q~.S <br /> - ' ~ ~ . . <br /> .Y. <br /> - ' <br /> Accuount code Account Amount <br /> 3~ z - ~'3~z `..1~~ ~0° ` s/ ~r j~ $ a lam. ~ <br /> . $ <br /> _ _ s _ _ <br /> s <br /> $ <br /> s <br /> Page °f <br /> <br />