{% load static %} {% load settings %}
image

Shipping Order

FORM
Auto-generated by MxLIVE
Based on: CLS Doc. 0.11.1.19 Rev. 6

Shipper's Name:DATE{% now "F d, Y" %}
CLSI Department:{{admin_project.department|cut:"None"|default:""}}
Phone:(If this is a project GL Account complete Code Code, WP, & Job ID information)
GL Account #: Cost Code: WP: Job ID:

Shipping Information: (Consignee)
Company Name: {{ project.department|cut:"None"|default:"" }}, {{ project.organisation|cut:"None"|default:"" }}
Street Address: {{ project.address|cut:"None"|default:"" }}
City: {{ project.city|cut:"None"|default:"" }} Province / State: {{ project.province|cut:"None"|default:"" }}
Country: {{ project.country|cut:"None"|default:"" }} Postal Code: {{ project.postal_code|cut:"None"|default:"" }}
Att: (Contact Person): {{ project.contact_person|cut:"None"|default:"" }} Phone Number {{ project.contact_phone|cut:"None"|default:"" }}
Contact Person Email: {{ project.contact_email|cut:"None"|default:"" }}
CLSI Proposal Number: Federal Tax # (USA):
Consignee's Courier: {{ project.carrier.name|cut:"None"|default:"" }} Courier Account #: {{ project.account_number|cut:"None"|default:"" }}
On Loan □ Chargeable Repair □ Return to Owner ■ Other:
Return of Loan □ Warranty Repair □ US Goods Returned □
Return to Vendor □ RMA# Other (explain) □
{% for component in shipment.components.all %} {% endfor %} {% with ''|center:7 as range %} {% for _ in range %} {% endfor %} {% endwith %}
Qty
(Grams or Litres if Chemical)
Model # / Serial # / Description Country of Manufacture Value
{{ num_packages|default:"1" }} Non-Hazardous Frozen Protein Samples in Dry Shipping Dewar {{ project.country|cut:"None"|default:"" }} $200
1 {{ component.kind }} {{ project.country|cut:"None"|default:"" }} $100
 
 Qty TotalH.S. Code  
Any Hazards? YesNo YesNo YesNo Total $
Explosives Flammable Liquid Poisonous Material CAD$ ■ Euro$ □
Dangerous-When-Wet Flammable Solids Poisonous Gas USA$ □ GBP$ □
Corrosive Material Combustible Liquid Radioactive Material Yen$ □
Organic Peroxides Infectious Substance Oxidizer
Lead Acid Battery Spontaneously Combustible Liquid Other Currency
Lithium Metal Battery Nonflammable Compressed Gas
Lithium Ion Battery Flammable Compressed Gas
Please Supply Two Copies Of Safety Data Sheet For Each Element Shipped

Package size L x W x HWeight
Package 1 Measurement Inch □Cm □
Package 2 Total Shipment Weight
Package 3 KGS □
Package 4 LBS □
Canadian Light Source · 44 Innovation Boulevard · University of Saskatchewan, Saskatoon, SK Canada · S7N 2V3