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_ <br /> ~F ~ ~ <br /> ~ <br /> a- ~ ~ , <br /> DEPARTMENT ORDER WORKSf~EE'T ~ ~ ~ G. . <br /> ORDER NO.. <br /> ~ <br /> . . <br /> D <br /> VSW <br /> g~Z. GENERAL DESCRIPTION ~/c~~~ . . <br /> Authorized by ~2 .Pay • with - atitached~"invoice <br /> .Received by i=F ~ n~ ~ ~ Pre a '•j'•.~ . <br /> p yiaeht <br /> Date. merchandise received ~ ~ <br /> ~'9r • <br /> • •Separate•Check <br /> Vendor name and address if not. voi • <br /> on ~ ce ut <br /> iZo a to <br /> r <br /> • <br /> • - <br /> <br /> ' Vendor Code <br /> • . • Cotumodity code. - ~tx~ <br /> • , <br /> I' anti ~ ~ Z <br /> Stu ty .Onit Price $ ..Total <br /> Description _ ~,C,~ ~ ' <br /> - ' Y <br /> • <br /> Account code Account Amount <br /> q 4~ ~ • <br /> / 2 - 93 ~ ~ !ate ~ - 4'x,3 s'/(a $ oZ.~ <br /> Y(p <br /> z. - 3 ~ G.z Yam 5-/0 ~ $ 1p <br /> 3 , ~ 3 z q~ ~ <br /> . ~ 2 <br /> s <br /> s <br /> $ <br /> Page °f <br /> <br />