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VENDOR NAME: k-yzma 5 c, 9L7z,,DEPARTMENT OF NATURAL RESOURCES PV# P_A <br /> ADDRESS: o c v.D RECEIVING REPORT ATTACHMENT <br /> AND- COFRS CODING SHEET <br /> VENDOR SN/EINt • , SUPE OR'S APPROVAL DATE M <br /> •I:.: b •C •�lR Cd N• . .. <br /> .....::.. . <br /> . . :.F... ...:.: :•..:•..::..:.:.:..:.::,.:. ..,:...:::::: .::..:.� .{.:.; ..:,v;..... . :.•; ., .... .. :.:'.....:.:... .::sua : .,al;v...:.. .::,sus;:::::. :...:.'.�.:s:::.:.•': � •<:g:,.,:,.;: <br /> aG�Rr.::. :.Pa.OioJB@rC:•:::.• <br /> `''AMOUNUNk .E :AGtNG c GNO OCE QGLINE Y:::•>:': <br /> AY <br /> DESCRIPTION OF ARTICLES OR SERVICES ACTUALLY RECEIVED <br /> Ao ' 101� 91 <br /> 1 hereby certify that I have received ilia 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 /> RECEIVING ERK OR AUTHORIZED EMP YEE DATE RECEIVED INPUT INITIALS INPUT DATE APPROVAL DATE <br /> 4 <br /> 10 <br /> RECFORM.TAB Revised 6/91 <br />