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2. LENAWEE COUNTY PRINTING & PURCHASING

   320 Springbrook Ave. Suite #104 Adrian, MI 49221

3. SUPPLIES ORDER FORM
   Phone (517) 264-4564 - Fax (517) 264-4770
5. Today's Date
6. Supply Type

   1. Stocked Inventory
   2. Special Orders
   3. Both
7. Link to stocked inventory
   Stocked Inventory
8. Link to Office Depot
   Office Depot

   Prices on web site are not what you will be charged. We receive discounted pricing.
10. Requested Pickup Date
12. Organization / Department
13. Ordered by
15. Phone Number
16. E-Mail Address
17. Fax Number
19. Comments on Special Orders
20. Comments on Stocked Inventory
22. Item Number
23. Description
24. Quantity
26. Item Number
27. Description
28. Quantity
30. Item Number
31. Description
32. Quantity
34. Item Number
35. Description
36. Quantity
38. Item Number
39. Description
40. Quantity
42. Item Number
43. Description
44. Quantity
46. Item Number
47. Description
48. Quantity
50. Item Number
51. Description
52. Quantity
54. Item number
55. Description
56. Quantity
58. Item Number
59. Description
60. Quantity
62. Item Number
63. Description
64. Quantity
66. Item Number
67. Description
68. Quantity
70. NOTE: Non-county customers will be charged a 5% service fee on "Special Orders"
Leave This Blank:


72. 1. Receive an email copy of this form.
73. Email address

    This field is not part of the form submission.

74. Submit Submit and Print

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