Document Qg7Mk2785zKQbkLJ6YwB0XDO6

PURCHASE ORDER NO. REQUISITION NO. fackRECEIVING REPORT PRO. NUMBER INVOIC DATE - DVATAEfSRECD. r ADDRESS CITY & STATI Partial \ Complete Car Leads Cases PkflS. Crates Bnrfls- Bulk Bbls. Bags Drams Cartons FREIGHT EXPRESS QUANTITY / P.P. DELIVERED PICK UP CHGS. PD. CHARGES COLLECT - AMOUNT DESCRIPTION \ WEIGHT r . ': ' REMARKS d VLffi ' ' t-v No. 39411 RECO. BY-. TUCKER PBINTINO COMPAK For Department 000004066