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. . <br /> . ~ <br /> DEPARTMENT ORDER WORKSHEET . <br /> r <br /> • ~ ORDER NO.. aDO~aB9~( <br /> i <br /> . <br /> . . <br /> _ <br /> ~ DVSW GENERAL DESCRIPTION % ~~z~.j' . . <br /> Authorized by Rl~- ~ . Pay ~ w3~th • attached "fiivoice <br /> - Received b N f~r2 m?~2 ~ + - .Pre °-r: <br /> . Y ~ a _ <br /> P yinefit <br /> ~ • s • • - <br /> Date. merchandise received ~ - Eme • <br /> .Separate Check <br /> Vendor name and address if not on invoice Route tos <br /> <br /> . Su ~B~ <br /> Vendor_Code • <br /> II . . <br /> • Commodity code ~ ~3~-.s~ad <br /> • <br /> mR <br /> Quantity .Unit Price $ Tot 1 $ St' <br /> Description ~ ~ " S y,J ~ gay ' z <br /> . <br /> . . <br /> Account code Account Amount <br /> T ~ <br /> _ ~ $ <br /> S <br /> Y JM1; c <br /> ~©o~-oo~~`~~ V <br /> Page of <br /> ~~b~ <br /> a`~'~'~_ <br /> <br />