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• . _ . <br /> . ' DEPARTMENT ORDER WORKSHER'T ~ . <br /> ' ~ 4~~ ORDSR NO p r <br /> . a. ~ ~ . <br /> DV <br /> SW <br /> GENERAL DESCRIPTION le~C~~ . <br /> Authorir~ed by ~i~21C ~y~j~'2 • ~ .Pay with ~ attached invoice <br /> Received by r9 Prepayatefit <br /> Date. merchandise received ~ O ~ ~ ~ Eme <br /> ,Separate Che- <br /> _ ck <br /> vendor name and address if not on ~.nvoice ~ Route for <br /> <br /> a <br /> DoIGKt~9e~RTl~. /lJur~t~?e E ~ ~ . <br /> r ~ _ <br /> . ~ Vendor Code <br /> I ~ <br /> Commodity code ~~30 - sbv <br /> S2uant~•ty .Unit PPice $ Total $ ~~B <br /> Description ~C~ S ~ - <br /> . Y <br /> Account Code ACCOUtit Ali10Ut1t <br /> . $ <br /> s <br /> . $ <br /> Page °f <br /> <br />