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Or VENDOR NAME: �A ,� DEPARTMENT OF NATURAL RESOURCES wa A <br /> ADDRESS: RECEIVING REPORT ATTACHMENT <br /> AND COFRS CODING SHEET <br /> VENDOR SSN/EINJI SUPER IS R'S APPROVAL DATE =i <br /> RQ OR P.O. X'�-- I�-' j I <br /> Z2 �61 le, <br /> 76 <br /> COFRS ACCOUNTING CODES <br /> urJE SUB REV $US 9S RPRT JOB/ <br /> tJ0 INVOICE FUNb AGENCY. ORG :APPR •• PR FUNC OBJ OBJ SRC . RE V•• ACC GAL CAT PROJECT AMOUNT <br /> [DESCRIPTION OF ARTICLES OR SERVICES ACTUALLY RECEIVED <br /> ` Y <br /> API <br /> I hereby certify that I have received the articles listed above, that I have carefully inspected, weighed, counted or measured the commodities and found them in good condition and complying <br /> with the specifications given, or that the services were satisfactory, except as noted. <br /> RECEIVI LERK OR AUTHORIZE MPLOYEE DATE RECEIVED INPUT INITIALS INPUT DATE APPROVAL DATE <br /> RECFORM.TAB Revised 6/91 <br />