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_ ~ <br /> r ~ <br /> . ~ DEPARTMENT ORDER WORKSHEET ~ . . <br /> ~ ~ ~s . <br /> • ~ ORD$R~$:~IO ~ ~b ~ <br /> g <br /> _ x: <br /> DVSW 9~Z 7 (~NERAL DESCRIPTION _ ~ ~ <br /> Authori~ced by _ t~ -,~j~y/P~ - Y shed "iriv• • <br /> . Pa • with ~ atta~ <br /> oice <br /> Received •by ~F rVD,~(2S.~ut~ ~ ~ ~ . Prepayiaef~t.~•r:. <br /> ~ <br /> _ <br /> Date. merchandise received ~ Ea~erg <br /> .Separate Check . <br /> Vendor name and address if no on invoice Route toi <br /> <br /> I / ~ <br /> vendor Code • <br /> - , <br /> • <br /> - ~ Commodity code ~j ~ 30'S1~ <br /> Quant~.tY ~ .Unit Price $ .Total $ ~ • <br /> Description _ ~ ~ F 5 . <br /> • - . :y. <br /> Account Code ACCOUpt AtriOUtlt <br /> ~i~-Q33a -.~a~oo-9~~/~~1 $ ~5 ~o <br /> . <br /> . $ <br /> s <br /> s . <br /> s <br /> s <br /> ~ ~6~~~~$ <br /> ~GCV Page of <br /> SATE <br /> I~lITIAL ~ - <br /> <br />