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              Contact Person (Worksite)
              Contact Person’s No.
              (Worksite)
              Date Ordered                      /       /2010
              Date & Time to be Delivered       /       /2010
              Cost Code
              Vendor Name
              Description / Items
              Estimated PO Amount          $
              ୖGGFWD #
              ୖGType of FWD                [A]      [B]        [C]        Note:
              ͑                            ͑                                                      ͑
              ೕ SR's Approval is required  ͑        ͑              ͑        ͑   ͑     ͑           ͑
              ೕ If FWD occurs insert FWD# and check one from [A][B][C].     ͑   ͑     ͑           ͑
              ೕ [A]- Billable , [B]- Internal ,  [C]- Back Charge
              ͑
             Reported By:                                                           ͙΄ΦΡΖΣ͑͑͠΁;͚   ͑
                                                         ͑

             Approved By:                                                 ͑         G ͙΄Σ͑͟΁;͚     ͑



            Chris Kim         ANGELES CONTRACTOR, INC.
            Vice President    8461 Commonwealth Av., Buena Park, CA 90621
                              Tel (714) 443-3655 Fax (714) 443-3293















































            10/14/2013
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