School District:

School:

Water

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: . 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 / *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.) / Order / Unit / ID / Prices / Filled
2 / Band, rubber #14 pk 25 / pack / 1833 / .97
1 / Coloring, food, 4 colors / each / 2159 / 6.90
50 / Cup, 9 oz, plastic / each / 1170 / .14
1 / Filter, paper, coffee, small pk 40 / pack / 2135 / 4.14
1 / Foil, aluminum / each / 010-1397 / 4.14
5 / Pad, sticky note 3x3 / each / 1210 / 1.24
1 / Paper, waxed / each / 2062 / 4.14
1 / Salt, kosher 310 g (3/4 lb) / each / 2512SM / 2.07
2 / Soil, potting, gallon / each / 1128 / 3.11
1 / Stick, craft pk 50 / pack / 1662 / 1.31
1 / Straw, thin, 5 3/4 “ clear (must fit stopper w/hole) pk 50 / pack / 192-3690 / 1.31
40 / Vial, 7 dram w/lid / each / 220-0439 / .42
1 / Book, Water, pk 8 / set / SD 542-2015 / 75.90
3 / Bottle, dispensing, plastic w/caps, 500-ml / each / SD 021-3971 / 2.62
10 / Bottle, glass, 60-ml (2-oz. ) / each / SD 021-3619 / 4.00
20 / Bowl, plastic, 16 oz / each / SD1236 / .62
24 / Clip, medium, binder / each / SD2811A / .42
20 / Clothespin, spring type / each / SD2146 / .23
20 / Cup, 16 oz, plastic, tall, clear / each / SD031-4577 / .23
20 / Cup, filter w/6 holes (cup nests into, and is suspended in 16 oz tall cup) / each / SD 031-4588 / .55
75 / Disk, plastic, large, 5-cm / each / SD 040-3259 / .30
16 / Dowel, plastic, 30 cm (replaces Rod, acrylic & straw) / each / SD 180-9861 / .83
36 / Dropper, plastic / each / SD1620 / .19
1 / Gravel, fine (1-1/2 lb, 640 grams) / each / SD070-2558 / 2.07
72 / Lid, plastic, dome / each / SD 120-5720 / .15
20 / Lid, plastic, flat, for 16 oz cup/bowl (above) / each / SD 120-1970 / .35
2 / Marker, fine-point, black, permanent / each / SD2572 / 2.07
1 / Objects, set: 2 wooden beads, 2 corks / set / SD 150-0729 / .55
1 / Poster, Safety, grades 3-4 / each / SD 161-6328 / 2.21
1 / Poster, Water Cycle / each / SD 031-6546 / 2.21
1 / Poster, Waterworks / each / SD 161-6405 / 3.17
8 / Sponge, 4”x6” / each / SD 190-4770 / 1.24
10 / Stopper, rubber, #1, with hole for thin straw (above) / each / SD 193-8294 / 42
3 / String, ball 200’ / each / SD3423 / 2.28
1 / Tray, ice cube / each / SD1816 / 2.42
8 / Tray, plastic, cafeteria, 11 x 14" / each / SD 200-4936 / 6.21
20 / Vial, 50 ml, soft w/lid / each / SD 220-1231 / 1.93
Delete: tablet indicator, limestone chip, epsom salt, 12 dr vial, dup masters)

Warehouse: Order picked by______Date______Order checked by______Date______