DC-138C COMMONWEALTH OF PENNSYLVANIA CASH SLIP DEPARTMENT OF CORRECTIONS REQUISITIONING INMATE (Transgender Male within a Female Facility) DOC NUMBER NAME (PRINT) LOCATION DATE TO BE CHARGED TO MY ACCOUNT Quantity Item # Item Description Quantity Limit Item Total 45394 BH MENS BRIEFS, SM ** 2.76 BH MENS BRIEFS, MED ** 2.76 45396 BH MENS BRIEFS, LG ** 2.76 45397 BH MENS BRIEFS, XL ** 2.76 45398 BH MENS BRIEFS, 2X ** 3.26 45399 BH MENS BRIEFS, 3X ** 3.26 BH MENS BRIEFS, 4X ** 3.26 45401 BH MENS BRIEFS, 5X ** 4.26 BH MENS BRIEFS, 6X ** 4.26 45403 BH MENS BRIEFS, 7X ** 4.26 45413 HANES MENS BRIEFS, SM ** 2.02 HANES MENS BRIEFS, MED ** 2.02 45415 HANES MENS BRIEFS, LG ** 2.02 45416 HANES MENS BRIEFS, XL ** 2.02 45417 MENS BRIEFS, 2XL ** 2.93 45418 HANES MENS BRIEFS, 3XL ** 2.93 45600 ATHLETIC SUPPORTER, SM ** 4.72 45601 ATHLETIC SUPPORTER, MED ** 4.72 45602 ATHLETIC SUPPORTER, LG ** 4.72 45603 ATHLETIC SUPPORTER, XL ** 4.72 TOTAL: $ ________________________ INMATE’S SIGNATURE OFFICIAL APPROVAL PREA COMPLIANCE MGR BUSINESS OFFICE’S SPACE CHARGE ENTERED DATE BOOKKEEPER DC-138A COMMONWEALTH OF PENNSYLVANIA
DC-138C CASH SLIP COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF CORRECTIONS REQUISITIONING INMATE (Transgender Male within a Female Facility) DOC NUMBER NAME (PRINT) LOCATION DATE TO BE CHARGED TO MY ACCOUNT Quantity Item # Item Description Quantity Limit Item Total 45394 BH MENS BRIEFS, SM ** 2.76 BH MENS BRIEFS, MED ** 2.76 45396 BH MENS BRIEFS, LG ** 2.76 45397 BH MENS BRIEFS, XL ** 2.76 45398 BH MENS BRIEFS, 2X ** 3.26 45399 BH MENS BRIEFS, 3X ** 3.26 BH MENS BRIEFS, 4X ** 3.26 45401 BH MENS BRIEFS, 5X ** 4.26 BH MENS BRIEFS, 6X ** 4.26 45403 BH MENS BRIEFS, 7X ** 4.26 45413 HANES MENS BRIEFS, SM ** 2.02 HANES MENS BRIEFS, MED ** 2.02 45415 HANES MENS BRIEFS, LG ** 2.02 45416 HANES MENS BRIEFS, XL ** 2.02 45417 MENS BRIEFS, 2XL ** 2.93 45418 HANES MENS BRIEFS, 3XL ** 2.93 45600 ATHLETIC SUPPORTER, SM ** 4.72 45601 ATHLETIC SUPPORTER, MED ** 4.72 45602 ATHLETIC SUPPORTER, LG ** 4.72 45603 ATHLETIC SUPPORTER, XL ** 4.72 TOTAL: $ ________________________ INMATE’S SIGNATURE OFFICIAL APPROVAL PREA COMPLIANCE MGR BUSINESS OFFICE’S SPACE CHARGE ENTERED DATE BOOKKEEPER DC-138A COMMONWEALTH OF PENNSYLVANIA
Cash%20Slip%20DC-138C%20Transgender%20Male%20in%20Female%20Facility.docx