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VENDOR NAMEC' _ X I MENT OF NATURAL RESOURCES PVx P A <br /> ADDRESS: j RECEIVING REPORT ATTACHMENT <br /> !/ AND COFRS CODING SHEET <br /> r <br /> VENDOR SSN/EINr U / 7r.UPEpMOR'S APPROVAL DATE <br /> Ro OR P.o.r <br /> CONS ACCOUNTING CODES <br /> LINE 5UB' REV 5UB HS RPRT JOB/ <br /> NO INVOICE FUND AOM;., • bRG I►PPR PPOG fUNC OBJ QIlJ SRC iIEV• APCr QBL' CAT ' PROJECT AMOUNT <br /> DESCRIPTION OF ARTICLES OR SERVICES ACTUALLY RECEIVED <br /> L-4 <br /> I hereby certily that 1 have received the articles listed above, that 1 have carefully Inspected, weighed, counted or measured the commodities and found them in good condition and complying <br /> with the acifications given, or that the services were satisfactory, except as noted. <br /> =RECEGRK OR AUTItORIZED EMPLOYEE DATE RECE�D INPUT INITIALS INPUT DATE APPROVAL DATE <br /> ;z 2L <br /> RECFORM TAB Ruvisuil 6/91 <br />