HSLAS ANIMAL ORDER REQUISITION #: A -

INCOMING SHIPMENTS:
COMMERCIAL SOURCE
ORDER DATE:
TEL: 780 492 3145 FAX: 780 492 4426 March 15th 2023

DEADLINE FOR ORDERING:

ORDERS FOR EXTERNAL SUPPLIERS MUST BE SUBMITTED BY TUESDAY NOON FOR DELIVERY IN THREE WEEKS.
WE CANNOT RECEIVE ANIMALS FROM EXTERNAL SUPPLIERS DURING SHORT WEEKS
TACONIC OR JACKSON LAB STOCK NUMBER MUST BE PROVIDED WITH EACH ORDER ALONG WITH THE COMPLETE STRAIN NAME
XENOPUS ORDERS FROM SCIENCE ANIMAL SUPPORT SERVICES (SASS) MUST BE SUBMITTED BY TUESDAY NOON FOR DELIVERY IN TWO WEEKS.

 RUSH ORDER FEES WILL APPLY FOR ORDERS PLACED AFTER THE DEADLINE; HOWEVER WE CANNOT GUARANTEE ANIMALS WILL BE RECEIVED ON DATE REQUESTED.
 AN ORDER CANCELLATION FEE WILL BE APPLIED TO ORDERS CANCELLED LESS THAN 7 DAYS PRIOR TO THE DELIVERY DATE.
 ANY CHANGES TO THE ORDER MUST BE COMMUNICATED IN WRITING. A MINIMUM OF 48 HOURS’ NOTICE IS REQUIRED.

PLEASE ENSURE YOUR PROTOCOL HAS BEEN APPROVED FOR THE NUMBER AND STRAIN REQUESTED.

ALL ITEMS MARKED WITH AN ASTERISK (*) MUST BE COMPLETED IN ORDER TO PROCESS THE ORDER. ORDERS THAT ARE INCOMPLETE WILL BE DELAYED

*PRINCIPAL INVESTIGATOR Sue Tsai

*CONTACT NAME Masoud Akbari *CONTACT TEL # 226 504 0193

*CONTACT EMAIL masoud1@ualberta.ca

*AUP# 3665 *PURCHASE SPEED CODE ZAHFI *PER DIEM SPEED CODE ZAHFI

*W ILL THE ANIMALS BE:

PICKED UP ✔ HOUSED: KB65 DELIVERED:

*DATE REQUIRED: First week of April or ASAP *IS IT A STANDING ORDER? YES ✔N O

*IS IT A RUSH ORDER?

✔Y ES NO IF YES, FREQUENCY?

*VENDOR:
CHARLES RIVER
CANADA ✔ JL ACKSON
ABORATORIES
TACONIC XENOPUS
(FROM SASS)
OTHER:

D.O.B. /
*ACUTE /
*QTY *SEX *SPECIES / STRAIN *VENDOR STOCK # *WEIGHT / AGE BREEDING DATE
CHRONIC
(OFFICE ONLY)
4 F NOD.129P2(C)-Tcratm1Mjo/DoiJ 004444 5-7 weeks old

NOTES:
to be housed in KB65

HSLAS USE ONLY

COST CENTER (SPECIES) SPECIFY ROOM# RUSH ORDER
SHIP DATE DELIVERY DATE
SUPERVISOR CONFIRMED HOUSING # OF ANIMALS PER CAGE CAGE TYPE REF #

CONFIRMED WITH SOURCE ENTERED DATE PI CONFIRMED

The personal information requested on this form is collected under the authority of Section 32c of the Alberta FOIPP Act. It will be used in the operation of the HSLAS
Animal Care Program. If you have any questions about this collection, contact the FOIPP Coordinator, HSLAS, University of Alberta, 1-132 Li Ka Shing Centre for Health
Research Innovation, Edmonton, AB T6G 2E1, (780) 492-3040. Revised July 2018