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EPARTMENT PLEASE ORDER THE FOLLOWING ITEMS FOR THE DEPARTMENT OF: CHARGE BUDGE ACCOUNT # (Please include subcode) SUGGESTED SOURCE OF SUPPLY: Company IMPORTANT Normally the suggested vendor will be used, unless a better price for the same or comparable quality can be obtained elsewhere. If for some specific reason it is essential that the suggested vendor be used, please place an (X) in the box at the end of this statement. Attn. Address City State Zip Code Phone Number Fax Number Email.

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