School District:

School:

Solids and Liquids FOSS

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
10 / Bag, plastic zip lock 1 quart pk 10 / pack / 1120 / 1.17
4 / Band, rubber #14 pk 25 / pack / 1833 / .97
100 / Cup, 6 oz, paper / each / 1921 / .08
25 / Cup, 9 oz, plastic / each / 1170 / .14
1 / Coloring, food, 4 colors / each / 2159 / 6.90
2 / Foil, aluminum / each / 010-1397 / 4.14
1 / Seed, bean, Lima, large 12.5 oz / pack / 120-8129 / 4.07
1 / Spoon, plastic, standard pk 8 / pack / 2317 / .83
2 / Stick, craft pk 50 / pack / 1662 / 1.31
1 / Straw, jumbo, plastic box 250 / box / 2267 / 6.21
8 / Beaker, plastic, 50-ml / each / SD021-6358 / .55
45 / Bowl, plastic, 16 oz (replaces 1/4 & 1/2 ltr container) / each / SD1236 / .62
1 / Brush, bottle / each / SD2353 / 1.86
5 / Funnel, plastic, large (5 inch) / each / SD2806 / 4.07
5 / Lid, plastic, flat, for 16 oz bowl / each / SD 120-1970 / .35
6 / Spoon, measuring, 25-ml / each / SD191-5924 / .11
12 / Vial, 12 dram w/lid (sp) / each / SD1423L / .28

Warehouse: Order picked by______Date______Order checked by______Date______