Genomics -- Sequencing Request -- Signature form http://www.genomics.purdue.edu/~ltl/cgi-bin/submission/SampleEntry06.
cgi
Print this sample submission sheet and have it signed by someone who has signature authority for the account the sequencing will be
billed to (probably your lab director.) Then bring your samples in with your signed submission sheet to WSLR S045 in the sub-basement
of the Whistler building. Do not press your "back" button because you will not be able to re-submit this form. If you need to make
changes then you have to create a new submission. We lowered our rates as of 08-Dec-2014.
Sample Submission Complete
Date 05/01/2017 For office use only
Affiliation On campus
Account number 21030000-4011018003 6 reactions at $6.13 each
Department Entomology
Phone number
Name
(765) 775-3303
shruti sharan
Total cost: $36.78
Lab director Hill Catherine We will modify this if required
Submitter email sharan@purdue.edu
Lab director email hillca@purdue.edu
Service request 34251
Signature: _______________________________
# Sample name Vector V. size (kb) Tmpl. size (kb) Primer 1 Primer 2 Accession
1 5HT5 - 0 0 5HT5-F 5HT5-R 149084
2 5HT6 - 0 0 5HT6-F 5HT6-R 149085
3 5HT7 - 0 0 5HT7-F 5HT7-R 149086
Comments: [ Total cost: $36.78 ]
Genomics Home
Low throughput sequencing home
Purdue Genomics Core Facility
Purdue University Room S045 WSLR (Whistler Hall)
Copyright © 2006–2016, Purdue University 170 S. University St.
All Rights Reserved. West Lafayette, IN 47907-1057
Purdue University is an equal access/equal opportunity university. If you have trouble accessing this page because of a disability, please
contact Phillip SanMiguel at pmiguel@purdue.edu
1 of 1 5/1/17, 9:51 AM
