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EWB-USA Receipt by pbn10852

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									                  EWB-USA Receipt                                     EWB-USA Receipt

Date of                                             Date of
Purchase       __________________________________   Purchase       __________________________________

Vendor                                              Vendor
Name/Address   __________________________________   Name/Address   __________________________________

Item                                                Item
Purchased      __________________________________   Purchased      __________________________________

Cost and                                            Cost and
Currency       __________________________________   Currency       __________________________________

Seller’s                                            Seller’s
Name           __________________________________   Name           __________________________________

Seller’s                                            Seller’s
Signature      __________________________________   Signature      __________________________________

Purchaser’s                                         Purchaser’s
Name           __________________________________   Name           __________________________________

Purchaser’s                                         Purchaser’s
Signature      __________________________________   Signature      __________________________________

Project                                             Project
Name           __________________________________   Name           __________________________________




                  EWB-USA Receipt                                     EWB-USA Receipt

Date of                                             Date of
Purchase       __________________________________   Purchase       __________________________________

Vendor                                              Vendor
Name/Address   __________________________________   Name/Address   __________________________________

Item                                                Item
Purchased      __________________________________   Purchased      __________________________________

Cost and                                            Cost and
Currency       __________________________________   Currency       __________________________________

Seller’s                                            Seller’s
Name           __________________________________   Name           __________________________________

Seller’s                                            Seller’s
Signature      __________________________________   Signature      __________________________________

Purchaser’s                                         Purchaser’s
Name           __________________________________   Name           __________________________________

Purchaser’s                                         Purchaser’s
Signature      __________________________________   Signature      __________________________________

Project                                             Project
Name           __________________________________   Name           __________________________________

								
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