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~ ~ <br /> <br /> ~ N <br /> . DEPARTMENT ORDER WORKSHEET <br /> n <br /> I ORDER NO.. • ~~2,©O 5/~, <br /> ' • A• • , <br /> DVSW GENERAL DESCRIPTION ~f'cE.~ <br /> • . <br /> " . Pa • with_ ~ atta~ <br /> shed" <br /> "invoice <br /> Y <br /> Authorized <br /> Received by 1~ o ~n,•J . Prepayiaeftt <br /> Date merchandise received ~ . ~e~J~cl'~.'~•'' _ ' <br /> - - • Separate Check <br /> Vendor name and address if not on invoice Route to:. <br /> ~u1lclC . <br /> Vendor Code <br /> Commodity.. code ,~~30- SAO <br /> ~O <br /> Quantity .Unit Price $ Total $ ~ ~pD~ <br /> Description ~~,5 ~~--~~t~'N>~s_ <br /> - ~ <br /> - <br /> Account Code ACCOUgt M10U(1~" <br /> yo <br /> /.3f - li S~- CoZsr.1'~ ~~n~~itL) l.S`~ <br /> OS <br /> . ~g <br /> ~y <br /> Page of _~----r <br /> <br />