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u;' q <br /> I <br /> . DEPARTMENT ORDER WORKSFiEET <br /> _ ORDER NO... ~~~d ~ <br /> DVSW Qy7~. ' GENERAL DESCRIPTION ,1~~~. S ' <br /> Authorisced by 2 ~ . Pay ~ wi~~h.• attached "invoice <br /> •.::t:~~ <br /> Received by ~ l~fltJ~ <br /> E2S°-'^~ Prepayatefit <br /> Date merchandise received ~ .Emergency°°' <br /> . .Separate Check <br /> Vendor name and address if not an invoice ~ Route tos <br /> i <br /> Vendor Code <br /> <br /> 'I <br /> . • ~ .Commodity. code e~ `.$'z~Z~ <br /> ~ ~ ~ Total $ <br /> ~~~,ty .Onit Price $ <br /> Description S ~ - <br /> • <br /> . . <br /> , <br /> - <br /> Account Code Account Amount. <br /> - <br /> C <br /> S <br /> off' $ <br /> ~ $ <br /> s <br /> Page of <br /> <br />