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7-5O-1500M—l* Purchasing Agent **Los F O R M 4 2 0 5 -3 SHIPPING ORDER AND NOTICE Leg Shipped to_ Purpose__ Ami Data 1 0 / 8 0 / 8 8 0. H itte r e/o t . R. Mj&g a, Las Vegas, Nevada N o._______ Req’n No. 6 4 - 1 8 0 Chlorinate water w ells (Station) _Div____ _Dep’t _ (State) ___ W o rk Order, Quantity Required DESCRIPTION Furnished or Shipped SN.eoHwr., Scrap Measure of Unit Extension Price Amount Acct. No. Class No. Quantity Unit Quantity Unit Amount Unit 4 Cane D 282 BSPS 251 Per invoice attached fro* Beat Maintenance Supply 0D « 9 1009 South Main St*. Las Vegas, Bevada f a r iA fPSWF 4 y Picked up Oct* 28. 1952. fey 1* Re ssag in emergency while « M s i prodocl;icn teat of Well Bo. 9* Back Ordered — Initials . Original Req’n Received — Location, -D a te , -D a te , TOTAL Approved: Approved: Approved: Dixon _Titi(F<H2_ »«lnd.i)ev. ntie Aaafe, Chief Claritrai. R eq'n rec'd by CO N TAIN ERS WEIGHT Shipped 19 Bag S tation W. R No. Date R eceived 19 Dj( Rec. No. Date _ Signed.
