Ecosystems School: School District: Teacher: Month & Year kit will be taught: Fill in your order on the computer screen (TAB key moves the curser), SAVE the completed order on your computer and ATTACH the saved order to an e-mail addressed to: Warehouse@dciu.org. Important: Do not save the form for future use. Use a fresh download from the SEPARSI web site each time you submit a new order. WARNING: small parts are a choking hazard. Adult supervision is required. See SEPARSI web page. Form: 2012-13 *SDur 15 15 15 6 1 16 13 15 8 16 8 13 1 *Con (*Sdur=Semi-Durable item; *Con=Consumable item; *This number is given here only to indicate the quantity of items in a new kit for 30 students. Do not use this number as a multiplier for ordering items.) 1 60 50 1 7 1 3 1 1 1 1 1 8 2 1 1 Conditioner, tap water Cup, 1 oz, paper Cup, 10 oz, plastic Fertilizer, powder, 8 oz Gravel, aqua, 5 lbs Living materials card, EcoSystem Paper, pH test, roll Salt, table 1 lb Screen, fiberglass, 4x4 inch pk 22 Seed, alfalfa, germinating pk 600 Seed, mustard, germinating pk 600 Seed, rye grass, germinating pk 600 Soil, potting, gallon Spoon, plastic, standard pk 8 Tape, transparent 2" Vinegar, pint Book, Investigation, Ecosystems Book, Kids Discover, Ecology, pk 8 Book, STC Ecosystems pk 8 Clip, medium binder Dropper, plastic Funnel, plastic, large (5 inch) Knife, retractable Lens, hand Lid, tank, plastic 1.5 gal Marker, fine-point, black, permanent Net, aquarium, dip Ruler, metric, plastic 12" Spoon, measuring, metric set 5 Tank, plastic 1 1/2 gal Thermometer, aquarium Order: Unit ID Cost each each each each each each each each pack pack pack pack each pack each each each pack pack each each each each each each each each each each each each 1160 1917 2822 2846 1156 2800 2851 2848 2831 2836 2838 2834 1128 2317 1238 2765B SD2803B SD2898 SD2896 SD2811A SD1620 SD2806 SD2814 SD1111 SD1153 SD2572 SD1162 SD2407 SD2842 SD1152 SD1177 4.75 .04 .10 5.00 3.00 138.00 7.95 1.75 3.20 .95 .95 .95 2.25 .60 2.25 1.95 7.95 39.60 125.00 .30 .14 2.95 2.00 .95 4.80 1.50 .95 .95 2.95 4.80 1.95 Warehouse: Order picked by_____________________ Date___________ Order checked by___________________ Date_________