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VENDOR NAM <i — c—`]-• -L DEPARTMENT OF NATURAL RESOURCES PVw P A <br /> ADDREss: J RECEIVING REPORT ATTACIIMENT <br /> AND COFRS CODING SHEET <br /> VENDOR SSN/EINI j <17 SUPE V OR'S APPROVAL DATE L <br /> RO OR P.O./ <br /> COFRS ACCOUNTING CODES <br /> LINE 5UB qEV SUB 9S RPfiY 10t�f <br /> NO INVOICE FUND AGENCY: ORG APPR . PIiOG fUNC OQJ OWSRG (iEV; ACCY 9 L CAT ' PROJECT AMOUNT <br /> of <br /> dF <br /> DESCRIPTION OF ARTICLES OR SERVICES ACTUALLY RECEIVED <br /> 1 haiaby cattily that I have received the articles fisted above, that i have carelully inspected, weighed,counlad or measured the commodillas and found them In good condition and complying <br /> wilh ilia s ocihcations given, or that the services were satisfactory, except as noted. <br /> RECEI GI CLERK OR AUTIIOR! EM O/YEEJ DA/T///E/`•'p'ECEcI�VED INPUT INITIALS INPUT DATE APPROVAL DATE <br /> RECFORM TAB Ruvisud 6/91 <br />