Chain of custody record, Westchester County Labs, Nov 2001

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o □ 300MSETS M-1212027 FISA—ACECF100 (Rev 5/77) THE CITY OF NEW YORK PURCHASE REQUISITION D.P.NO. DEPARTMENT OF PURCHASE USE ONLY * / PROC. CODE PRIORITY > z o co g o DI V3~5 3~5 3-5 3-5 8-10 12-15 19-21 23-24 28-33 MO DY YR R! INCREA^'eI I DECRE.^°E [~~1 CA^El[~~1 | FUNdQO/ BUDGI DATE AGCYTOOE$?J_U. IrEO^O. U o ENTRY CODE OBJECT |On O^. 5>3 APPROVED c o CT o o o' o oo DEUVER TO C^AUPiceg-^cKVLy DIVISION ; ADDRESS DATE . MO> frR lOgQg__________ ROOM U o ro MO_ DY YR FOR ADDITIONAL INFORMATION 3. 01 DATE NEEDED Ai Si Ai? PREPARED i . i : CONTACT: TEU o LAST OR PURCHASED o VENDOR IN D.P. FISCAL o INFO. lEQ. No. ORDER No. YEAR S.I. No. c 3 DESCRIPTION-tComplete Spec’s Ind" Size/M^rei^^la^ST Mir. Catalog No.) Q Item REPORTING unit COST d 3 CATEGORY QUANTITY UNIT ESTIMATED COST No.

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8-37 68-80 02 SUMMARY iSCRIPTION

• AGENCY CERTIFICATION TOTAL ESTIMATED AMOUNT $ '2^'S' CERTIHCATE OF ACCEPTANCE INTO IFMS Prepared By: Title LCERTifythat thejtems herein have I CERTIFY THAT SUFFICIENT FUNDS ARE AVAILABLE BEEN CHARGED TO THE CORRECT ACCOUNTING AND HAVE BEEN PRE-ENCUMBERED IN THE ABOVE NAMED CERTIRCATE OF NECESSITY CODES LISTED ABOVE WHICH ARE UNDER THE ACCOUNTING CODES. I CERTIFY THAT THE ITEMS HEREIN ARE NEEDED AND WILL BE USED BY THE JURISDICTION OF THIS DEPARTMENT. AGENCY FOR THE PURPOSE STATED ON THE BUDGET APPROPRIATION OR MODIFICATION. Date Accepted Title Title by IFMS .

Approved By: .Date By: By:

1 --FISA- IFMS ENTRY CQPY/EUBCHASl.N.ft flMJiq.Y.QOPY