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    DENVER OFFICE SUPPLIES     DENVER PHONE: (800) 234-5678 MCj02785820000[1]     
    ORDER FORM       DENVER FAX: (800) 123-4567      
    ACCOUNT NUMBER:
    		REQUISITIONER:
    		PHONE:
           
    CONSIGNEE:
    		DEPARTMENT NAME
    		DATE:
           
    CUSTOMER PO #:
    		TOTAL
    QTY. UNIT ITEM NUMBER DESCRIPTION PRICE
    		QTY. UNIT ITEM NUMBER DESCRIPTION PRICE
    BINDERS     SUBTOTAL:   POST IT NOTES, CONT. SUBTOTAL:  
    EA ID100000 3 RING BINDER, 1", BLUE $ 0.91   PD ID100048 PAD,NOTE,3"X3" $ 0.28  
    EA ID100001 3 RING BINDER, 1", BLACK $ 0.91   PD ID100049 PAD,NOTE,YW,3X5 $ 0.99  
    EA ID100002 3 RING BINDER, 1", GREEN $ 0.91   PD ID100050 PAD,NOTE,YW,3X5 $ 0.40  
    EA ID100003 3 RING BINDER, 1", RED $ 0.91   PRINTING SUPPLIES   SUBTOTAL:  
    EA ID100004 3 RING BINDER, 2", BLUE $ 1.90   EA ID100051 CARTRIDGE,PRNT,BK,DSKJET $ 28.79  
    EA ID100005 3 RING BINDER,2 ", BLACK $ 1.90   EA ID100052 TONER,HP LASER JETII/110 $ 95.89  
    EA ID100006 3 RING BINDER, 2", GREEN $ 1.90   EA ID100053 TONER,MICROFINE,F/HP LJ4 $ 91.35  
    EA ID100007 3 RING BINDER, 2", RED $ 1.90   EA ID100054 TONER, LASERJET 4V-4MV $ 134.41  
    EA ID100008 BINDER, VIEW, 1", WE $ 1.63   EA ID100055 TONER, LASERJET, 5L & 6L $ 59.01  
    EA ID100009 BINDER, VIEW, 2", WE $ 2.38   EA ID100056 CARTRIDGE, PRINT, COLOR $ 28.87  
    EA ID100010 BINDER, VIEW, 3", WE $ 3.66   EA ID100057 INK JET CART, BK $ 28.79  
    BX ID100011 PORTFOLIOS, TWIN POCKET $ 4.94   EA ID100058 CART. DESKJT, 850C, 855 $ 29.59  
                EA ID100059 CART. DESKJT, 850C, 855 $ 28.79  
    CLIPS & FASTENERS SUBTOTAL:   EA ID100060 CARTRIDGE, TRI-COLOR $ 29.59  
    BX ID100012 CLIP,BINDER,SMALL,12/BX $ 0.19   EA ID100061 TONER CART, LJ4L, 4ML $ 88.21  
    BX ID100013 CLIP,BINDER,MED,12/BX $ 0.45   EA ID100062 TONER CART, LJ IIP $ 97.30  
    BX ID100014 CLIP,BINDER,LARGE,12/BX $ 1.27   EA ID100063 TONER CART, LJ3SI, 4SI $ 114.43  
    BX ID100015 CLIP,PPR,#1,.034,GA $ 0.11   EA ID100064 TONER CART, LJ 4/5 $ 95.70  
    BX ID100016 CLIP,PPR,JUMBO,.048 GA $ 0.32   EA ID100065 TONER, LASERJET 5P, 5MP $ 77.96  
    CORRECTION FLUID SUBTOTAL:   EA ID100066 TONER, LASERJET, 5SI & 5SIMX $ 166.71  
    EA ID100017 FLUID,CORRECT,WE,1/2 OZ $ 0.55   EA ID100067 TONER, LASERJET, BLK $ 56.42  
    ENVELOPES   SUBTOTAL:   EA ID100068 TONER, LASER, 2100 $ 95.70  
    BX ID100018 ENVELOPE,COMM, @4X10,24# $ 6.00   EA ID100069 TONER, LASERJET, 4000/4050 $ 94.90  
    BX ID100019 ENVELOPE,CLASP,9X12 $ 5.72   EA ID100070 TONER, LASERJET, 4000/4050 HIGH CAP $ 117.40  
    BX ID100020 ENVELOPE,CLASP,10X13 $ 6.77   EA ID100071 TONER, 5000, BK $ 156.31  
    BX ID100021 ENVELOPE, 10 X 13, REDISEAL $ 9.96   EA ID100072 TONER, LASER $ 179.50  
    FILING SUPPLIES   SUBTOTAL:   EA ID100073 TONER, LASER, 4500, BK $ 81.93  
    PK ID100022 TAB,FOLDER,1/5,25PK,CR $ 0.55   EA ID100074 TONER, LASER, 4500, YW $ 118.90  
    BX ID100023 FOLDER,1/3,11 MLA,LTR $ 5.13   EA ID100075 TONER, INK JET, TRI COLOR, HI CAP $ 54.99  
    BX ID100024 FOLDER,1/3,11 MLA,LGL $ 7.69   EA ID100076 TONER, INK JET, TRI COLOR $ 31.99  
    BX ID100025 FOLDER,HANG,LTR,N/TAB,25 $ 4.55   EA ID100077 TONER, INK JET, BLACK $ 27.19  
    BX ID100026 FOLDER,HANG,LTR,W/TAB,25 $ 5.03   EA ID100078 TONER, INK JET, 3 COLOR $ 31.99  
    BX ID100027 FOLDER,HANG,LTR,1/5,TAB $ 9.05   EA ID100079 TONER, REMAN, 3903A $ 51.70  
    LABELS     SUBTOTAL:   RUBBERBANDS   SUBTOTAL:  
    BX ID100028 LABEL, ADDRESS, 1-1/3 X 4 $ 51.41   BG ID100080 RUBBERBAND, SIZE 33, 1/4 LB. $ 0.29  
    PK ID100029 LABEL, FULL SHEET, 8.5 X 11 $ 6.87   BG ID100081 RUBBERBAND, SIZE 64, 1/4 LB. $ 0.29  
    BX ID100030 LABEL, LASER, 1 X 2-5/8 $ 23.76   STAPLING SUPPLIES SUBTOTAL:  
    BX ID100031 LABEL, NAME TAG, 3 X 4 $ 12.59   BX ID100082 STAPLES,CHISEL,5M/BX $ 0.60  
    PAPER SUPPLIES   SUBTOTAL:   EA ID100083 REMOVER,STAPLE,BN $ 0.24  
    RM ID100032 PAPER,BOND,BE,8.5X11,20# ALL COLORS, EXP BRITES $ 2.90   BX ID100084 STAPLES,STND,SF1 $ 0.55  
    CT ID100033 PAPER,COPY,WE,8.5X11,20#, CARTON $ 21.56   EA ID100085 STAPLER,FULLSTRIP,BK,545 $ 2.99  
    SK ID100034 PAPER, COPY, WE 8.5 X 11, 20#, SKID $ 862.27   TAPE FLAGS   SUBTOTAL:  
    RM ID100035 PAPER,COPY,WE,8.5X14,20# $ 2.57   EA ID100086 TAPE,FLAGS,RD,1X1.7 $ 1.37  
    RM ID100036 PAPER, COPY, WE, 11 X 17 $ 4.31   EA ID100087 TAPE,FLAGS,BE,1X1.7 $ 1.37  
    RM ID100037 PAPER, PRESENTATION, INK JET $ 5.85   TAPE SUPPLIES   SUBTOTAL:  
    DZ ID100038 PAD,LEGAL RULE,CY,5X8 JR $ 5.01   EA ID100088 DISPENSER,TPE,3/4IN $ 0.51  
    DZ ID100039 PAD,LEGAL RULE,WE,5X8 JR $ 5.01   RL ID100089 TAPE,SEALING,CLEAR,2 IN $ 0.71  
    EA ID100040 BOOK,STENO,6X9, GREGG,60 $ 0.66   RL ID100090 TAPE,FILM,CR,48MMX50M $ 3.59  
    DZ ID100041 PAD,LGL,RLD,CA,8.5X113/4 $ 7.54   RL ID100091 TAPE,TRANS,.75X1296 INCH $ 0.69  
    DZ ID100042 PAD,WIDE,RLD,WE,8.5X11 $ 6.58   RL ID100092 TAPE,MENDING,3/4X1296 $ 0.82  
    DZ ID100043 PAD,LGL,RLD,WE,8.5X113/4 $ 7.54   RL ID100093 TAPE,MAGIC,#810,3/4X1296 $ 1.83  
    POST IT NOTES   SUBTOTAL:              
    PD ID100044 PAD,POST-IT,REFILL3X3,YW $ 0.79       Total    
    PK ID100045 PAD,NOTE,YW1.5X2,12PD/PK $ 3.99          
    PK ID100046 PAD,NOTE,YW,1.5"X2" $ 1.59              
    PD ID100047 PAD,NOTE,YW,3X3 $ 0.74              
                           
                         
    DENVER OFFICE SOLUTIONS PHONE: 1-800-123-4567 FAX: 1-800-234-5678  
     
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