Chem Tests School

Balancing and Weighing School District: School:

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: [email protected]. 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

*SDu *Co (*Sdur=Semi-Durable item; *Con=Consumable item; *This number is Order: Unit ID Prices Filled r n 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 Cereal, round oat, 12 oz each 1751 .28 1 Clay, modeling kit (1/4lb clay, 1 plastic knife, in baggie) each 1729K 2.76 15 Clip, paper, small bx 100 box 1720 1.31 30 Cup, 10 oz, plastic each 2822 .14 60 Cup, 2 oz, plastic each 2408 .07 1 Dot, 30 each: y, r, blu, gre, or each 1782 3.45 2 Macaroni, elbow 1 ½ lb (for weighing) each 1753 6.90 1 Marker, broad nib, pk 5 (y, r, blu, gre, or) pack 1766 5.45 2 Pad, sticky note 3x3 each 1210 1.24 1 Paper, const, yellow 9x12 pk 50 pack 1725 3.45 1 Paper, const, red 9x12 pk 50 pack 1722 3.45 1 Paper, const, lt blue 9x12 pk 50 pack 1270 3.45 1 Paper, const, green 9x12 pk 50 pack 1723 3.45 1 Paper, newsprint 19 sheets pack 1749 4.07 1 Paper, 67 lb, 8.5 x 11 (any color) pk 30 pack 1710 3.45 1 Paper, const, red 4x4 pk 62 pack 1722A 1.31 1 Pencil, #2 pk 30 pack 1707 5.52 1 Seed, split pea, 2 1/2 lb (for weighing) each 1757 8.28 1 Seed, sunflower, 1 lb (for weighing) each 1755 6.21 2 Spoon, plastic, standard pk 8 pack 2317 28.91 1 Straw, jumbo, plastic pk 250 pack 2267 .48 15 Balance, equal arm (entire, including two 1 qt. pails) each SD1727 1.66 15 Ball, ping pong each SD1734 1.52 15 Block, wood 1-oz 1 x 1 (for weighing) each SD1740 54.65 15 Board, beam each SD1712 120.89 Book, Kids Discover, Weight & Balance, pk 8 pack SD1798 2.42 Book, Literacy, Balance and Weigh, pk 8 pack SD1796 2.69 1 Clip, paper, jumbo bx 100 box SD1708 23.39 15 Cube, metal, 2 oz each SD1743 20.63 1 Cube, unifix, blue pk 100 pack SD1778 31.17 1 Cube, unifix, green pk 100 pack SD1780 20.68 1 Cube, unifix, red pk 150 pack SD1777 3.04 1 Cube, unifix, yellow pk 100 pack SD1779 2.42 15 Cylinder, acrylic, clear, 1 x 1" each SD2721 1.66 15 Fulcrum, wooden each SD1714 8.06 5 Lid, pail, plastic 1 qt each SD1760 2.69 450 Marble each SD1773 .88 5 Pail, plastic 1 qt each SD1759 75 Vial, film canister, w/lid (or STC replacement: SD1781) each SD1776

Warehouse: Order picked by______Date______Order checked by______Date______