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DATEO( Note: State Law prohibits payment of State Sales Tax with University Funds).INVOICE NUMBER /REFERENCE NUMBERNUMBERFederal ID/Soc. Sec. No. : DepartmentDivision Requested byTotalUIf no Purchase Order, provide justification and description of item(s) on receipt(s).<TO: Accounts Payable - P. O. Box 10003 3To the best of my knowledge, Lamar has received the7and the Vendor or Payee is due the amount(s) indicated. BANNER INDEXEmployee's Signature:Date:0Person having signature authority on above indexApproval Signature:/The above 鶹Ƶ-related expense was /incurred by me and I have not received previousreimbursement for this expense.Employee's Printed Name:Approval Printed Name:Justification / Description:9goods & services associated with the attached invoice(s), ACCOUNT CODE jlt 05/15*x .yJz{|ccfB g2ـ 7'c]  dMbP?_*+%;&?'?(?)?M Lexmark X264dn&C odXXLetter,DINU"T0!,?!SMTJLexmark X264dnInputBinFORMSOURCERESDLLUniresDLLOrientationPORTRAITResolution1200IQBookletInputBinAutoSelectDuplexNONEBasicLayoutOnBookletNoCoverOffBookletFFrontCoverOffBookletBFrontCoverOffBookletFBackCoverOffBookletBBackCoverOffOutputBinStandardBinCollateONAllColorsToBlackOffTonerDarknessPrinterSettingPictureGradePrinterSettingColorModeMonoHasKeepPreviousPHJobsTRUEAdvancedBoookletAlgorithmTRUEStatusWindowTRUEShowStatusWindowAfterPrintingTRUEHasPrintQualityTRUEHasManualColorTRUEBitmapID60NewDuplexTRUEPixelBoostTRUEPaperSizeLETTERMediaTypeUsePrinterDefaultBookletMediaTypeUsePrinterDefaultHalftoneHT_PATSIZE_AUTOGraphicsModeRASTERMODETrueTypeFormatGRAPHICS0!KMXLArialHdArialHdUseSameSizeEDCL<B"XXX&U}  >} >} >} >}  >} >}  >7V@@h@ @,@V@@ h@  @ @  @ @@@ @ @@@ @?@ @@@@@@ ww @@ g<===== h<===== i AA? 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