DHMH FMIS SUPPLIES ORDER FORM DATE NAME PCA ROOM DEPT: M EXT: OBJ: 0965

ROW BIN COMMODITY U/M AMT. DESCRIPTION

300 0012 96612-HMHBUC PACK BUCK SLIPS 300 0004 31042-DHMHRE BOX ENVELOPES, #10, 201 W. PRESTON STREET 300 0003 31042-HMHXX1 BOX ENVELOPES, #10, 201 W. PRESTON STREET WINDOW 300 0007 31006-KFPLX3 PACK ENVELOPES, 10” X 13”, 201 W. PRESTON STREET 301 0001 31006-KFTINT PACK ENVELOPES, 10” X 13”, INTER-OFFICE 301 0004 31006-KFRTX1 PACK ENVELOPES, 7.5” X 9”, 201 W. PRESTON STREET 300 0005 31006-KFPLXX PACK ENVELOPES, 9” X 12”, 201 W. PRESTON STREET 301 0002 31054-DHMHPK BOX ENVELOPES, PINK INTER-DEPARTMENTAL 301 0005 96612-DHMH#1 PACK EXPENSE ACCOUNT REPORT 302 0011 28550-161013 EACH LAMP, FLUORESCENT, 15 Watt 302 0012 28550-2252XX EACH LAMP, FLUORESCENT, F17T8 302 0013 28550-2253XX EACH LAMP, FLUORESCENT, F25T8/TL741 302 0003 96612-201WXX REAM LETTERHEAD, 201 W. PRESTON 300 0006 96612-DHMH36 PACK OVERTIME VOUCHERS 302 0002 64537-385X11-R EACH PAPER, 3-HOLE PUNCH, LETTER 100 0002 64537-013101-R REAM PAPER, 8 ½” x 11”, WHITE 100 0001 64537-023101-R REAM PAPER, 8 ½” x 14”, WHITE 302 0004 64536-2000BL REAM PAPER, BLUE, LETTER 302 0005 64536-2000CY REAM PAPER, CANARY, LETTER 302 0008 64536-200GRY REAM PAPER, GRAY, LETTER 302 0006 64536-2000GN REAM PAPER, GREEN, LETTER 302 0009 64536-200IVR REAM PAPER, IVORY, LETTER 302 0007 64536-2000PK REAM PAPER, PINK, LETTER 302 0010 64521-200TAN REAM PAPER, TAN, LETTER 301 0003 64537-130000-R REAM PAPER, STATE SEAL, LETTER 301 0006 96612-DH1099 PACK PETTY CASH FORM 302 0001 61517-123139 EACH RECORD STORAGE BOXES

DHMH 4652 12/28/11