Laserfiche WebLink
• <br />OFFICE OF SURFACE MINING <br />I.,I,I. ,._"~ III I At 1. SPACES WITHIN HEAVY LINES <br />u II <br />ti1H IISE BY PURCHASING OFFICE ONLY <br />V<II\I.11 <br />V .~S G~IYtPMY(Hr PYIM nNG OIIICt IYBO-dt6~Ill <br />• <br />REQUISITION <br />lima Ship Vio <br />MO. DAY YEI~fl <br /> /J <br />~rC41r~1~ s~~ <br />~ ~ Coy <br />X50 FOB <br />Iva. I' I' 1, U f S N DD TI Ty AcU Obl Sub Amouln Payment Tnma <br />I I <br />-~'.. A..I 1 ._1-t 1 t t <br />f1Li 5..6 Amount t t t <br />Accl Dbl t t t t__r t <br />Sub Amount .Acct <br />Obj Sub <br />l if 1 1 _I_-1-t_t t . t t t_t r . t t r_t t <br /> <br />~~.I~I 1 ARTICLES OR SERYICES Ouo ntNy Unit Uo11 <br />Prlca <br />1 ~t~_I_l~~~l ~ ~ <br />~__(_ %1~ ' ' r <br />~~'%Y(`l~ y 0n, <br />!/ L fllbl,! 6~ r t D1. <br />. -- ~ ~ ----1~ <br />1 ~~ f.~, s <br />If4 6~<<~~IIslt) ~} <br />I <br /> <br /> <br />• <br />TRANSACTION N0. <br />Suggaatad Vendor <br />1 <br />Addras• <br />Dab of •qu ~~Ition Raq. No. <br />i i <br />~ 'i <br />D'ouI aqu nd / ~--~ Ddlru To: <br />NP,(t !l tl"(l fq~r'e Gff IsI <br />For ua• of Raquiailionar <br />Amount I Account ~ Obj I Sub <br />Raquiailionar <br />