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FIELD ORDER <br />STATE OF WASHINGTON <br />TO City of Everett <br />City Hall <br />Everetts 'Ka 96201 <br />O.TC OPOEPCO ORDL" NUMBER <br />31 12_3D-71 F$11943 <br />SHIP TO 040 Dept of Social and Health Services <br />Service Delivery Division, Everett <br />2E09 Grand Avenue <br />Lverett, wa 98206 <br />SNIV FPOM <br />PPICE F. O. B. <br />TERMS <br />TO TIC 5"HPPEO WITHIN <br />DAYS <br />AUTHORISATION NO. <br />E #5D <br />1b <br />GA Item <br />I'OM RECCIPT OF OROCR <br />P <br />D E S C R I P T I O N <br />QUANTITY <br />UNI! <br />UNIT PBICL <br />AMOUNT <br />1 <br />Building permit to do construction and alterations <br />at Donable Food Store, 2931 Grand Avenue, !-'verett <br />I <br />5•C'C <br />DELIVER THE ARTICLES ORDERED ABOVE IN ACCORDANCE WITH THE FOLLOWING <br />1. Show both AUTHORIZATION NUMBER and ORDER NUMEER on all invoices, packages and shipping documents. <br />2. Mail Two Copies of II oice at time of shipment unless otherwise instructed below. <br />3. Washington Sales Tax applies to this order. <br />4. This order is subject to the terms and conditions set forth on the back of this field order. <br />MAIL INVOICES TO 041 DSHS Service Delivery Division Everett Office <br />AGENCY OR OFFICE)O <br />Dept of Social and Health Services tic._.ice )Tanager <br />P. U. Pox 598, Everett, as 982o6 BY IL <br />VENDOR'S COPY <br />FORM A 17 <br />