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• DEPARTMENT ORDER WORKSHEET ~ <br /> , . . <br /> - <br /> r <br /> ORDER NO.., oZ. a,. ~'2 48 <br /> DVSW Q~~~. ~ GENERAL DESCRIPTION ~ ~ ~ ~IN~s"~f'CFt~I <br /> T.R~ s . J <br /> Authorized /~/LR,~c ` <br /> by a_ !?_fyi~F ~ .Pay with ~ attached invoice <br /> Received by i~.c~F ~ T.. <br /> ,~.!/~E~;sa rJ Prepayiaef~t <br /> • ` <br /> . <br /> Date merchandise received 1~.~~ -/g v/ ~ E~aergrency <br /> . . ~ .Separate Ch_ec_ <br /> k <br /> ~ Vendor name and address if not on invoice ~ Route to:. <br /> Vendor Code <br /> <br /> i <br /> ' ~ . <br /> I ~ ~ Commodity code S~3r~ `,S~d <br /> j Quanta-ty ,Onit Price $ Total $ / ~3 ~ <br /> Description ! J~~.S ,~ft~~asnf . ` <br /> i <br /> • <br /> Account code Account Amount <br /> 3/ a ~ 933 ~ ~o - <br /> x33.3 9 3~5~-~a9oo - R ~.3d~y ,~~"'N~~ S_ 5'v3 <br /> i ~ yo <br /> 1 3 93~-3~'~•~ [v3.5r~t~ ~INFiccM~ S 7~ 9 N <br /> S <br /> $ _ <br /> l - <br /> S <br /> Page of <br /> _ <br /> _ _ <br /> _ _ <br /> <br />