{% 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:"" }} VAT Tax Number
CLSI Proposal Number: EIN Tax Number (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 Select Unit of Measurement
(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?   No ■ Yes □   If Yes indicate below: Total
Explosives□ Flammable Liquid□ Poisonous Material□ Spontaneous Combustible□ CAD$ ■ Euro€ □
Dangerous-When-Wet□ Flammable Solids□ Poisonous Gas□ Non-flammable Compressed Gas□ USA$ □ GBP £ □
Corrosive Material□ Combustible Liquid□ Oxidizer□ Flammable Compressed Gas□ Yen¥ □ CHF₣ □
Organic Peroxides□ Infectious Substance□ Radioactive Material□ Other □
** Supply Electronic PDF or SDS Sheet For Each Element Shipped ** Other Hazard□
Batteries□Enter type of battery below The Watt-hour (Wh) of a cell or batttery is required to ship

Enter Voltage (V) & Amp-Hours (Ah) to calculate Watt-hours (Wh)

(Wh) may also be indicated on Cell or Battery
                    (V)      (Ah) =      (Wh)

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