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VENDOR NAME: _ aJ 5 = �- , /-.ZZEPARTMENT OF NATURAL RESOURCES PVu P A <br /> ADDRESS: RECEIVING REPORT ATTACHMENT <br /> AND COFRS CODING SHEET <br /> VENDOR SSN/EINM p _U SUP RV OR'S APPROVAL DATE <br /> cJ <br /> RO OR P.O.p � � — <br /> �� <br /> COFRS ACCOUNTING CODES <br /> LINE $UB REV 5UB• B$ RPRT JQB/ <br /> rao INVOICE FUND AGENCY ORG• ;:APPR': , PROG FUNC OBJ OBJ SRC. REV ACC GBL CAT PROJECT AMOUNT <br /> DESCRIPTION OF ARTICLES OR SERVICES ACTUALLY RECEIVED <br /> 1206 <br /> 1 <br /> I hereby certify that I have ceivad 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 /> RECEIV:IN�Gjl RK OR AUTHORIZED E"I�LOYEE DATE RECEIVED INPUT INITIALS INPUT DATE APPROVAL DATE <br /> RECFORM.TAB Revised 6/91 <br />