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~ <br /> DEPARTMENT ORDER WORKSFiE~'T - - ' 3 . <br /> ° f <br /> ©42 0~/ ~ S~ 3 . <br /> RDER NO.. 02 <br /> _ .O <br /> DVSW ~ z GENERAL DESCRIPTION ~~t~~ . . <br /> . <br /> .Authorized by +~k• ,~MyI~ ~ ~ _ .Pay - w3~th ~ attached invoice <br /> Received by ~ fl ~ tt.sa Prepaymef~t <br /> Date merchandise received _ ~ .Emergency-`. - ' <br /> - - ' ~ • Separate Check <br /> Vendor name and .address if not on invoice ~ Route to: <br /> - <br /> J~i.Cn9 ~3 s•'CT <br /> ~ ~ Vender Code . <br /> . Coma~dity code ~s7..~o - S`~ o <br /> <br /> 1 . <br /> Quantity Onit Price $ Total $ .~5~ ~ <br /> Description ~ Lo : ~^~'~4L <br /> • <br /> . <br /> oTr• <br /> Account code Account Amc:unt <br /> 3 ~ ~/o ~',L, Gv2 S+~o ~..LYIt LL ~ $ <br /> \ ?ZS <br /> • ys <br /> a~~ ~~<<y- ~2 Sao T $ <br /> ~ J2 - 4 ~a io 2 LPn ' 9,c°L1.6 <br /> ~ $ ~ <br /> S <br /> S <br /> . <br /> . <br /> S <br /> Page of s- <br /> <br />