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National Organization for People of Color Against Suicide

Purchase Order

Print, fill out and send to

NOPCAS

P.O. Box 125

San Marcos, TX 78667

Date:    

Vendor Payable To:

 

 

   

Address

 

 

 

City

 

 

 

State

 

 

 

For

 

   

Requested by:

 

Name:

Company Organization:

 

Address:

 

 

   

Telephone:

 

Office:

 

Home:

 

 

 

(Please attach receipts/invoices.)

For NOPCAS Use Only __________________________________________________________

Date of Check:________________________ Amount:________________

Check No: ______________________ Invoice / Purchase Order#_______

Amount: _____________ Verified_____________________ NOPCAS/98/ck-1

Treasurer_________________________________

 


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2000 NOPCAS