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_ <br /> • <br /> r' <br /> ,~s~ .:5~ <br /> DEPARTMENT ORDER WORKSF~EET . ' . ,Y~ . <br /> ~ ORDER NO.. ~ <br /> ~ DVSW Qy-?-~. GENERAL DESCRIPTION ~ <br /> E~ - <br /> Authoritced by ~2 .Pay w3~th' attached `invoice <br /> Received by ~ ~C2 ~J • Prepaymefit <br /> Date merchandise received ~ ~ . Emergenc~?::' : ' <br /> • ~ .Separate•Check <br /> Vendor name and addres if not on invoice ~ Rpute for <br /> ~4J,92 11 2~ <br /> • ~ vendor Code <br /> • <br /> <br /> 3 <br /> ~ • . • commodity code ~~.~-s©~ <br /> ' - 4~ <br /> Quantity .IInit Price _ Total $ ~ 3~ <br /> Descri tion <br /> P <br /> • <br /> Account Code ACCOUQt AR10UClt. <br /> $ <br /> _ $ <br /> o7DO~-d6~ ~ $ ~ • <br /> RECV s3 ~ $ <br /> 1iNT1 A 1 ~ ~.cN - $ <br /> Page °f <br /> <br />