аЯрЁБс>ўџ )+ўџџџ*џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС7 №Пs bjbjUU *7|7|sџџџџџџlŠŠŠŠŠŠŠžžžžž ЊžЪЪЪЪЪЪЪЪ$ Ёr&ŠЪЪЪЪЪ&xŠŠЪЪ;xxxЪŠЪŠЪxЪxˆxŠŠЪО €дћшё{ХžžрvQ0V"xžžŠŠŠŠйCity College of New York Department Of Animal Care – ACF SERVICE REQUISITION Date Requested: ____________ Date Needed: ___________ Room: ________ Protocol #: ___________ Investigator: ___________ Phone: _________ Species/Strain: ____________USDA#/ I.D. # _____________ Person Requesting Service: ____________________ Signature: _______________________ XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Service Requested Special Diet: Start Date: _________ End Date: __________ # of Cage(s) __________ Special Instruction: _________________________________________________________________________ Euthanasia: # of Cage(s): ________________ (Cages card needs to be marked “Euthanasia” with a red marker.) Other Services: Other: ____________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________ Special Instruction:__________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________ Supplies: __________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Caging Supplies: ______ Autoclaved _____ Regular (Not Autoclaved) _____ Cages with wire tops _____ Micro-isolator tops _____Water with sipper tube Date needed: _________ How many?_________________________________________________ Date needed: _________ How many?_________________________________________________ Date needed: _________ How many?_________________________________________________ Place in Room? _____ YES _____ NO Room #: ___________ 59:NOjkЊЋНОЬЭЂЃЏАаб"#s їьшхтпттлтттлтттлт5\CJCJCJ5CJ56CJOJQJ]5CJOJQJ9:NOЏАjkЊЋНОЬЭЂЃЏАабњњњјјііііііёіяііііііііііііі$a$$a$s §"#45”J Ї  ] ^   х ц = > ‘ ’ ц ч ; < s §§§§§§§§§§§§§§ї§§§§§§§§„а`„а(1hАа/ Ар=!Аа"Аа#@$@%ААА i8@ёџ8 NormalCJ_HaJmH sH tH >> Heading 3$$@&a$ CJPJaJF F Heading 9 Є№Є<@&CJOJQJ^JaJ<A@ђџЁ< Default Paragraph Font0>@ђ0 Title$a$ 5CJaJ*J@* Subtitle5\sџџџџs s  s 58ujqШбсшВДHJъђ^`ГЕ u333333333OKruџџ Kathy Tang Kathy Tang Kathy Tang Kathy Tang Kathy Tang Kathy Tang Kathy TangEthelfC:\Documents and Settings\Ethel\Desktop\New Folder\backup\Iacuc1\ACF FORMS\CityService Requisition.docџ@€"z§s`@џџUnknownџџџџџџџџџџџџG‡z €џTimes New Roman5€Symbol3& ‡z €џArialI&€ џџџџџџџщ?џ?Arial Unicode MS"№ˆ№аhКт–FКт–F:r–F8їB1!№а@ДД20s 3ƒQ№мHџџNEW YORK BLOOD CENTER Kathy TangEthelўџр…ŸђљOhЋ‘+'Гй0˜ РЬрьј $ @ L X dpx€ˆфNEW YORK BLOOD CENTER9EW  Kathy TangOathathNormalaEthela2heMicrosoft Word 9.0E@@