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` VENDOR NAtiSE: �. Z& �. ARTMENT OF NATURAL RESOURCES hvr P/( A� <br /> ADDRESS: RECEIVING REPORT ATTACIIMENT <br /> AND COFRS CODING SHEET <br /> VENDOR SSN/EINI f7 /l �� SUPERVtO 'S APPROVAL DATE <br /> �J 7 :i <br /> RO OR P.O./ <br /> ACCOUNTING CODES <br /> LINE ``:::;::.;:: :'::. ',... 5UQ REV SUB 8S RPRT JOB/ <br /> NO INVOICE FUND AGENCY•'` 15F(i I►PPFi' P�iQG FUN OBJ: QBJ SRG : 'REV. . ACC QBL CAT PROJECT AMOUNT <br /> DESCRIPTION OF ARTICLES OR SERVICES ACTUALLY RECEIVED (11 <br /> DOG fLf 0C, O O <br /> 1 hereby certify that I have received ilia articles fisted above, that 1 have carefully inspected, weighed,counted or measured the commodities and found them in good condition a1xt complying <br /> with ilia specifications given, or that the services were satisfactory, except as noted. <br /> RECEIVI LERK OR AUTIIORI D E PLOYEE DATE RECEIVED INPUT INITIALS INPUT DATE APPROVAL DATE <br /> RECFORM.TAB Ruvised 6191 <br />