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

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 Total	H.S. Code

Any Hazards?	Yes	No		Yes	No		Yes	No	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 H	Weight
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