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- ~ <br /> i. ~ DEPARTMENT ORDER WORKSHEET 1•': <br /> Y <br /> ORDER NO.. o~ <br /> DVSW 9 y~ GENERAL DESCRIPTION 5 <br /> . <br /> Authorized by ~ ~,i,~yb~~ ~ - Pay ~ with. atitached 'invoice <br /> :•:a:•' <br /> Received by ~ ~~LG ~ 5 Prepayatefit - <br /> ~ Date merchandise received w ~ ~ . ~ex'S~c3t ' . <br /> • .Separate Check • <br /> vendor name and address if not on invoice ~ ~ Rr~ute to: <br /> • ~ ~ vendor .Code <br /> <br /> ~ ~ ~ - Commodity code ~ ~3~- S~Z~ <br /> Quantity .Onit Price $ Total $ ~,T <br /> Description ,~1iE s <br /> ' A 1 1 <br /> t i <br /> <br /> i <br /> . <br /> Y <br /> • <br /> [8- / a <br /> Account Code ACCOUfit A(110Ut1t_ <br /> 4p <br /> ?t - 9 `s,~ -~d ~-YJo ,e.~.-mow, Lz) `~ly~ <br /> -7 <br /> mP <br /> S <br /> S <br /> S <br /> S <br /> Page of <br /> _ <br /> - <br /> - - <br /> <br />