any CutTamgFrs ORDEP !DEPARTMENT DATE AZ —V i i Ye ) NAME /W/C 1 elle GoeIrAt-1,01-c Cic ADDRESS , CITY. &TATC. OP SOLO BY c.o O. CHARGE ON ACCT 1 MOSE RE TD !PRO OUT OUANTTTY DESCRIPTION PRICE AMOUNT 2 ---. ., -- &--1067,-- 5 6 7i:;,7teA t 61 7 . 8 114 ..b0-7 / 4.4elkAV/ fi PZ - La' — 9 . PAM je) Si 604 i•Y Ter 10 Jib hry 4/6 f 7c;00 et liour 11 12 /hi/ C-A/PrffeS /2-13 -10 li 2- -6- 0 3 4 far Gh.s79es /2 -/1-/0 PVC po 5 16 ,-- 17 t- _8_ 18 20 RECEIVED BY 7124.57 6:L i..4i 1R140C5805 KEEP THIS SLIP FOR REFERENCE ORIGINAL 1 45/1, k kic 31') cep-4.A 40-4A-r444-4(.6 rg LI RE ST JAMES APPROVED FOR PAYMENT KAREN f SORDID' EFTA00609037