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MARION COUNTY <br /> PURCHASING <br /> 3150 LANCASTER DRIVE NE SUITE ~~ F~~ <br />~ SALEM, OREGON 97305-1398 <br /> (503) 588-5170 (503) 588-5295 <br /> Consignee Number <br /> artmer~t <br />De <br /> p <br /> Address <br />p <br />~ <br />= <br />Floor <br />Rm <br />~ <br />~, State, Z~p <br />QUANTITY UNIT OF ISSUE <br />_~ ~ ~ <br />1 <br />2 <br />~ <br />~~ <br />3 t ~T <br />4 f ~~ <br />5 `'' ~ <br />s ~ ~-- <br />, ~A <br /> <br />8 t ~~- <br />9 c ~~ <br /> <br />o _ <br />, <br />„ <br /> <br />,2 <br />13 <br />14 <br />15 . _.~-- - <br /> DISTRIBUTION OF COPIES <br />PURCHASING WHITE <br />DEPARTMENT CANARY <br />SUPPLIES <br />REQU ISITION <br />INVOICE ~NUMBER <br />INPUT <br />• DATE <br />Date ~ ~ ~ ~ ~ ~ C~ Budget Number <br />~~~d ~J~~~.-V Y i Project Number <br />Contact Person ~ <br />Telephone Number~`~ ~~~~~~, ~ t' "~-~-'° Authorized Signature <br />PRODUCT CODE RIPTION PAGE # <br />~'~ ~~ ~~ ~O~ <br />N33b3t~ <br />~318 1 St~ <br />~~' ~~ ~ ~ <br />ml~~~ ~ <br />P~g~l t <br />~ ~C- ~ 1 <br />tfi33~~.--`l~a <br />~ IWV~~~ - <br />DESC <br />~~~ ~/V ~ 1~"~ "M-~ 1 <br />~ • ~: . . }1tQ Q ~~ Vl O ~ <br />~`~r1,~~,C~(~ ~ ~~~! <br />~'Yl fll1~'1 A n 1 d,II. ~~1 LNA ~.~ <br />1/ 1 C~D~-~ L~-~-~~ <br />~c.~r~titc~ Cc~~~ <br />ror~~ ~j o~.ti <br />`X'~ ~ ~S St~~r _ <br />NOTE: ITEMS RETURNED DUE TO ORDERING <br />ERRORS ARE SUBJECT TO RESTOCKING <br />AND SHIPPING CHARGES. <br />C1~ ~' o~~ o <br />~ i <br />~ a~.t ~~ <br />_a <br />~13~ <br />~O~v <br />ITEM <br />LETTER <br />~ <br />~ <br />~ <br />CJ <br />G <br />OBJECT # ~ PROJECTS <br />