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upr000211-021
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I agree.1,0-40-700M Storekeeper at M E M O W W MATERIAL REQUISITION Date Sheet 3 Req’n Shipped to At Dpp’t Purpose New Settling Basin. Las Vegas, Nevada___ Work Order Quantity Required D E S C R I P T I O N Shipped New or S.H. Measure of | Unit Extension Price Amount Class No. Acct. No. Q u a n t i t y U n i t ' Q u a n t i t y U n i t A m o u n t ' , U n i t 112 C y C o n c r e t e , R e e d y m i x , p r o p n , I t 2 | f i 3 £ 2 0 0 l l i i # 9 Annealed Wire 2 kega 3 d B o x Nalla 2 " lOd * » Approved: Approved: Approved: Signed: .Title- , . ? v | •• ; i . : " /Title 1 . |l j 1. _____ ____l_Titl&ffi,'Mi| ,V H ‘, '*?,-,H§f§feL' Title Req'n rec'd by CONTAINERS WEIGHT Shipped 19 Bag Received 19 Bag. Station . Signed