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~ _ • <br /> . ~ ~ . <br /> DEPARTMENT ORDER WORKSHEET . <br /> .ORDER NO.. s'~Bm?°o.$~~8 <br /> DVSW 9 y~z~ . ~ GENERAL DESCRIPTION I I~ iE S - : - - . - - ~ <br /> Authori~ced by _ SNy/j~~ ~ . Pay•with'attached{`invoice <br /> j <br /> • • Received by ~ ~~F ~~~.~~o rL~ ~ Prepaymefit <br /> Date merchandise received ~ Eme ~r <br /> - <br /> • .~.Eeparate Check <br /> i <br /> Vendor name and address if not on invoice ~ ltpute to: <br /> <br /> 1 ~ Vendor Code <br /> I • <br /> - <br /> j - ~ Coa~aodity code 3D' -•Sc~ <br /> S2u~~•tY Onit Price $ Total $ <br /> Description ~ - N, <br /> . <br /> .y. <br /> Acoount Code Account Amount <br /> ' $ <br /> S <br /> ~ ~ Page of <br /> <br />