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REV 7 18 MAR 13 CHAS-240-FM-001 NEW PURCHASE REQUEST FORM PR# Please fill out this form as complete as possible Date 12/6/13 Requestor Material Only Request Service Request Work Order Number: 343432
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Start by writing the month as "12" to represent December.
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Next, write the day as "6" to represent the 6th of the month.
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Finally, write the year as "13" to represent the year 2013.
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