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7 -5 0 -1 5 0 0 M — U F O R M 4 2 0 5 -3 WS-1153 SHIPPING ORDER AND NOTICE No___ StWtefPer at_------Lq, y egao,SeT»--------------------- Date------------------------------------ Req'n No--------------------- Shipped to.-gtore #400, Attn#- 1# B#Liaton At L e l e» ----Dept-----WS----- Purpose halie r U e ll E quip. Co. r e n t a l# ...... Div- ... C fcU f*--- ? . Work Order__472© Quantity Required DESCRIPTION Furnished or Shipped New, S. H. or Scrap Measure of Unit Extension P rlc. Amount Acet. Ne. Class Quantity Unit Quantity Unit Amount Unit Me. I F? HP ooeamMe 1 231 mounted on a surface /H «r>har>0A haafl . TTV t 1 tea +hst> liiha 50 f t column 1 -s ta se 10s HG bowl a ss] 1 Ea 15 HP. 1760 REtf. m 1 Ea h o ria o n ta l 3-phase m otor, s e r ia l No*245644 on r a i ls * \<3jA W G * C O ri«.S to re #400 - LA 00: RLA - L A ^ " MSW i LA " WO-4728 - LV F ile - LV Back Ordered — Initials________________________________________________Date--------------------------------------------------19— T O T A L Original Req’n Received — Location_____________:________________________ Date________________________ _____ 19____ ________ - Approved: Approved: Approved: Signed: ------------------- :----------- -------------------------------- -------------------------------- J . Onorf W3- 1155 .Title . Title T itle Req'n rec’d by Stockman 19 Registered 19 Filled bv CONTAINERS WEIGHT Car No. Int. Shipped---------------------------------------------19----------- B#g Req. No. Data Station W. R. No. Data Car No. Int. Received 19 _Bag. Res. No. Date Station. Signed. Title.
