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YOUR <br />ORDER MO, <br /> <br /> STATE OF CALIFORNIA <br />STATE EDUI~I'IONAL AGENCY FOR SURPLI ~ PROPERI'Y ' <br /> HEALTH I-I EDUCATION [] C.D. TRAINING [] INVOICE <br /> NUMBER <br /> C.D. OPER. RED. [] C.D. RESERVE STK, 0 <br /> <br /> YOUR <br />CODE <br /> <br />1551 <br /> <br />DONEE'S COPY <br /> <br />INVOICE <br />DATE <br /> <br />BILLING <br />ADDRESS <br /> <br /> SHIPPING <br /> ADDRESS. <br /> <br />DIVISION ~ <br /> <br />SHIPPED VIA--~ <br />ORDERED BY~~ <br />FILLED BY '1~/~'_ - ~ <br /> <br /> IDENTIFICATION REC. FAIR VALUE CHARGES <br /> NUMBER y, DESCRIPTION QUAN. UNIT TOTAL UNiT TOTAL <br /> <br />T~ Person ~lgt ' .~~o~,~~ xecuto The nstrument On ts ~ha f And Ob gat~ It To Perform The le~ms An <br /> <br />Received All Items. If Any Item Checked { r') Only Those {temJ Received. <br /> <br />SIGNATURE <br /> <br />And Third Sheets Hereunder. <br /> <br />TITLE / <br /> THIS IS NOT AN INVOICE ~ NOT PAY UNTIL BILLED <br /> <br /> <br />