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U.S.GOVERNMENT <br /> PURCHASE ORDER—oINVOICE <br /> �y—�% <br /> CHER <br /> RDER NO <br /> DATE Of ORDER 1t97 <br /> V vd1 <br /> ! INi AME AND ADDRESS Of SELL wm+bec 54ee(Gry,o+d Smbl' <br /> Public Health Services , <br /> San Joaquin County <br /> ; Environmental Health Permit/Services <br /> E I <br /> FURNISH SU P IES R VI i0l Dine^^✓°fir"'I <br /> FAA, SAC AFS <br /> 9624 Kiefer Blvd <br /> Sacramento, CA 95827-3882 <br /> SUPMIES OR SERVICESWANTITY UNIT PRICE AMOUNT <br /> 7 <br /> r <br /> Faeili <br /> i <br /> AGENCY NAME AND BILLING ADDRESS' TOTAL <br /> DISCOUNT TERMS <br /> Federal AreYron AdminBfrofion % _. _ DAYS <br /> e P O 8.R 92007,Worldwa+vP i Cantor,AWP-M� DATE INVOICE RECEIVED <br /> Y ✓ + <br /> D Los Ansebs,CA 90M r <br /> R <br /> ORDERED BY l5ipwt✓r,m+d nN�l <br /> PURPOSE AN A COUNTIN DA1A , <br /> 382.0/48064/330-90419/2391 <br /> UST Permit for STOCKTON <br /> ve <br /> To sign be/o for arvthe-counter delivery <br /> 01 items <br /> � RC A <br /> t II <br /> D <br /> f DATE j <br /> 11 <br /> SELLER—Please read insh"Whons on Copy z I <br /> . <br /> - <br /> RECEIVED �..... PAYMENT e ............ <br /> ❑ .. <br /> PAYMENT REQUESTED S••^""" --- <br /> ... ................ .. <br /> NO-FURTHER INVOICE NEED BE SUBMI o EO <br /> TE <br /> SELLE0. <br /> BY <br /> INSTRUCTIONS TO SELLER ing this <br /> vernment representative Present <br /> total and <br /> Aller satisfactory <br /> identification im the udi uantity,unit price,amount, <br /> purchase order,verify the Etemt%anon,including q ei t or as your <br /> discount>eaions. l may be used as a cash payment r,, P nt Request <br /> This form is so designed that Copy Y <br /> invoice by completing.as Seller <br /> Section <br /> either the Payment Received or Payme <br /> blocks and signing the Seller Section. SIGN for payment. <br /> if you o yourt rather <br /> subicemit <br /> expediown te verificationanprocessing T SIGN COPY 1,but attach rt <br /> PRESCRIRRFjSED thMBy jVb,(Re'.10-83) <br /> y.SELLER'S COPY OF ORDER FAR(48 CFR)53.313(c) <br />