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REQUISITION FOR SUPPLIES 0.77 —

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ORIGINAL

 

 

FREIGHT, EXPRESS, PARCEL POST

Ship wee . sais a po

Frt. or Exp. Send Invoice to

    
 
  
 

Post Post

QUANTITY | CAT. DESCRIPTION ITEM AMOUNT CODE
MEASURE | NO. PRICE NO.

 

Signed

 

THE NUMBER OF THIS ORDER MUST APPEAR ON INVOICE FI
METROPOLITAN SUPPLY CO., CEDAR RAPIDS, IA. —FORM 854—REVISED