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r . <br /> . DEPARTMENT ORDER WORKSHEL"i' - . <br /> r <br /> - ~ ORDER NO.. -2~~~`' ~ ~ . , <br /> - _ a...:~~ <br /> DVSW ~ ~ GENERAL DESCRIPTION ~ <br /> ES. . ~ ~ ~ . <br /> Authorized by ,Sj~f ,~fr ~ . Pay ~ with ~ attached invoice <br /> <br /> . Received . by F~ ~ Sv - . Prepaymefi~ <br /> - <br /> Date. merchandise received ~ - Eme <br /> - Separate Check <br /> Vendor name and address if not on invoice ~ Route tor~ <br /> Vendor Code <br /> Commodity code ~,z3a -S'aJa <br /> Quan~tY .Unit Price $ :Total $ ~ <br /> Description / 2~z S ~ . <br /> ~ G / <br /> Account code Account Amount <br /> 3-' <br /> $ <br /> $ . <br /> s <br /> s <br /> s <br /> Page °f <br /> <br />