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Central Early Childhood
ACTIVITY PURCHASE ORDER
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301 Hanna StreetDATE
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Golden, IL 62339PO #
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Phone: (217) 696-4652
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Tax Exempt #E9998-9387-07
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Company NameSHIP TO
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[Company Name]
Central Early Childhood
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[Contact or Department]
301 Hanna Street
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[Street Address]
Golden, IL 62339
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[City, ST ZIP]
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Phone: (000) 000-0000
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Fax: (000) 000-0000
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Requested ByCharge to BudgetApproved By
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[administrator signature]
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ITEM #DESCRIPTIONQTYUNIT PRICETOTAL
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[42]SUBTOTAL -
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Comments or Special Instructions
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SHIPPING -
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OTHER -
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TOTAL $ -
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If you have any questions about this purchase order, please contact
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(Danelle Nall - 217-696-4652, dnall@cusd3.com)
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