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DEPAR'TMENT FiEQUEST DATE Pr). NUMBER VENDOR NO. APPROPRIATION NAME <br /> <br /> 4 -„i r?. <br />CITY OF NORTH <br />OLMSTED ACCT. CLA551FICATION N. <br /> Purchase Order Requisition <br /> <br />S <br />U ° H . <br />P ADDRESS ? <br />P <br />P <br />L <br />? <br />CITY, STATE, ZIP " <br />T <br />! 1 <br /> ? <br />-- - <br />R ATTN: PHONE ATTN: <br />- <br />TEM QUANTITY CAT. NO FULL OESCRIPTtON (BE SPECIFIC) UNIT PRICE tTEM ANIOUNT <br /> <br />2 2 <br />[3] r -,rr ., 3. <br />s . rci °`: 2001 <br />4 <br />4 <br />5 5 <br /> 'q; D 7H AT Ti'r- NNA 0 i]N -I P. EC, 1 1 pE D 'f r A YP?;' g <br /> ,•1k':.I 43ti`j4:I I. P A Y FP?NF ^ <br /> 7 . <br />7 <br /> 8 <br /> <br />THE DOLLAR AMOUNT SHOWN IS: <br />REQUISITION <br />APPROVAL .? <br />? ESTIMATE ONLY. NUMBER <br />? ACTUAI TOTALS. ? 52494 DEPARTMENT / . .. <br /> HEAD OATE <br />? SUBJECT TD FREIGHT CHARGES. ,fr (/ <br />REQUEST l DATE <br />MADEBY <br />X _____- DIRECTOA ` d <br />. <br />VE <br />- <br />: <br />- - ___- ______ -___- ___- DI <br />SIGNATU 5 (T41 S OUEST MUST BE APPRO <br /> <br />WHfTE - PURCHASING COPY YELLOW • dEPARTMENT COPY n . CRC O 228 <br />r,,