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~ <br /> . ~ ~ . ~~°a <br /> • ; DEPAFtZ`MENT ORDER WORKSFiEE'T ~o ; ~ : . <br /> ..X <br /> ~ ORDER ~ <br /> • . ~ <br /> • A <br /> DVSW zZ•, GENERAL ~DESC•RIPTION <br /> /.a2rz 5.~. <br /> ~ ~a <br /> Authorized ~ • • <br /> • _ by Q+~.. .Pay • w3,th • attached `invoice <br /> Received •by fi ~ N4~ S~,n,> Pre a • `•t`~ . <br /> • P t <br /> Date. merchandise received ~ ' <br /> . _ . • <br /> • ~ • Separate • Ch_ec_ <br /> k <br /> Vendor name and address if not on invoice . - Rr~ute to:~. <br /> Vendor Code . <br /> • <br /> <br /> i <br /> . Commodity code ~3~- ~Z <br /> • <br /> mo <br /> Quantity .IInit Price $ Total <br /> -~7 c <br /> m <br /> Description / ~CF~'fr.~ <br /> a, <br /> • • • ~ <br /> - <br /> • <br /> Account Code ACCOUttt AmoLnt <br /> 1 Z - ~l 337 - !o ZQA'~ - S'!s~ S/ ~ y $ ~ . ~ <br /> • $ <br /> $ • <br /> - S <br /> S <br /> - $ <br /> s <br /> r ~ <br /> Pege °f . <br /> <br />