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Digital Provenance
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Publisher
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Transcription
'Form 429 4- D RECEIVING SHEET 1 2 -5 0 -3 0 0 M NAME OF SHIPPER: H ater W ell Equipment Co, 3865 Grand View B ir d ., Mar V is ta , C a lif, Purchase Order No. 3 3D 2 9 9 0 X 6- 28-51 This report properly dated and signed should be forwarded to Auditor of Disbursements, Omaha, as soon as material described thereon is received! POINT OF SHIPMENT-Consignee^ 0 SnCr f < 3 3D 2 9 9 0 X ) Las. Vegas, Nevada / Q UA N TITY DESCRIPTION W EIG H T Company Scale a . Shipper PURCHASE BILL °L INVOICE j Amount T Rubber Transmission B e lt 8” wide x 4 p ly F x 34 f t . 9 in C.L. |w' V A > W r FOB D P FRT STA., LfiS ANGELES \ Net 30 da. CONFIRMATION h& v G* ___ Ap O <v? V ''V o ,R m m W . B. N O ^ ^ . F- B- NO 13853 CAR. IN T - UF JN T . O F ROAD. TTP _DATE_ -IN T. O F ROAD. -NUM BER-d p — 101453 -D A TE - DATE MATERIAL RECEIVED___- g l ABOVE MATERIAL RECEIVED AND INSPECTED: ---- jr.Snorf fo re , tfS xggSfftfrN _H O W SHIPPED-CHAR GES-CONTAINERS W EIG H T ABOVE MATERIAL RECEIVED AND INSPECTED: RECEIVING CLERK
