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<br />.__.~--- ~ <br />.,- . <br /> <br />, <br /> <br />) <br /> <br />RECEIVh., .JREPORT <br />STATE OF COLORADO <br /> <br />NO. <br /> <br />Vo~cher Number <br /> <br />Fund Number <br /> <br />COLORADO WATER CONSERVATION BOAP~ <br />. . ' _. '. ' ~. J' '. " DEPART",ENT, INSTITUTlOfR,1\~ENCY ,( <br />Received from 'U/ee.4:/ ///?/ C/;.' e' ~?/S , <br /> <br />@C BtJYr1R, ' ",,;0ZJ,qaC,' [c./o. <br />'ADO~ESS - <br /> <br />/lei/hr./" -l.t <br />r d <br />cr/33 q <br /> <br />Requh.ltlon Num~r <br /> <br />Purchhe Order No. <br /> <br />APPROVED: <br /> <br />Supervisor <br /> <br />Ouantllles Accep~ed <br /> <br />.Unlt <br /> <br />Deacrlplfol) or Artlcles'or Servllles Actually Fieca{~ed <br /> <br />Exce~tlons Npted <br /> <br />c;~ M;;yP{) rJrir;-#:1 <br />:;:t:::"/lt7t//Cp,t7 //;:-/, <br /> <br />/ 3q tJfJu <br /> <br />{;/?>>r!rClC-! 15~ fi J,f/' <br /> <br />41206" ' <br />311-oC/~ 00 <br />:P3ClaY <br />/.,3 (;2-,0 <br />77 -77-777 <br /> <br />Date Received <br /> <br />/t2k.~tJ/;7 {:;> <br />'. ,.. , <br /> <br />I hereby certify Ihatl have received the articles listed above, that J have carefully Inspected, weIghed, <br />counted or measured the commodities and found them In good condition and complying with the <br />. .speclflcations given, or,thal the services were_satisfactory, except as nO.led. <br />r,/'\ '..rl .',,' <br />. ~"::':j-~-tII ~J ;':, ( l/ ~"''t .:{" '_.. .'__.. <br />Receiving Clerk or Authorll.ed Employee <br /> <br />Received At ' <br /> <br />, , <br />... - ~. ._~._- -'--'._-~~,..- -,. .-- n.,'. _.,~... _ ,:,,_'-'.._._,~ ., _r... . .::....._,.-:......._~.,:_;..._ __ ; ~....L <br /> <br />..,._._ .c..... <br /> <br />....__...---..:._~'.. <br />