Document XzkMJO4V8Q4VX79MDLYypagxJ

FILE NAME: DAP (DAP) DATE: 1976 Dec DOC#: DAP002 DOCUMENT DESCRIPTION: Sample Requisition Form - S HI P TO CANADIAN JOHNS-MANYILLE SAMPLE REQUISITION REO; NO.; 0 In e ' 5 3 0 H ts fe e rv iX l A v e . iJV t,O ii.r C i 45481. S u e S s & if c li C t-feris) CUSTOMER VIA H a ll ; " . ^ DATE * D @ eu m m / DATE N E E D E D - D e c . 2 4 / 7 .. ' DATE SHIPPED P R E P A R E D BY / j? - ?& E , C @ m ts te .e il PKGS, ;7 WEIGHT ' : ' \ ; . f : ' ' /& ~ / > RESP - ACCOUNT 3 U $ $ 5 8 7 ? 6 .7 Ap p r o v e d - ; CHARGES NO. OF UNITS U N IT W T .' 'S . T P3 D E S C R 1PT IO N S.v. %li 3 / 3 ' ' ';V. . ' ,, /- : ..-V. PR IC E ; '7 7 ' y. ------------ ------------- -- -- " --- A.F.D. SALES, ASBESTOS, QUEBEC -------------