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Sending Us Your Samples?!
**Please be sure to include detailed site locations (i.e. UTM's)** 

Click here to download a printable version of our work order.  (.PDF Format)

Work Order  
Total Number of Samples:  
     
 
Reservations?: Sample Submittal?:  
www.paleoresearch.com Date Needed (Must be Approved):    
2675 Youngfield St Golden Co 80401 (303) 277-9848; Fax (303) 462 2700 Purchase Order No.:      

Please Fill Out All Fields In GRAY (Customer)

  Client Information       Billing Information  
Name:           Name:        
Company:           Company:        
Address:           Address:        
City, State:       Zip:   City, State:     Zip:  
Phone:   Fax:   e-Mail:   Phone:     Fax:  

In Order to Complete Any Work In A Timely Manner Please Fill Out The Following

     
Site Information Required Work Requested
Please Include the Following information with your Sample(s) and "Work Order" Form. Type # of Samples Special Instructions
 
 
Site Name and Number Pollen    
Need To ReturnSample?     .
 
 
Location Pollen/Starch    
Need To ReturnSample?     .
 
 
Feature Description Phytolith    
Need To ReturnSample?     .
 
 
Environment/ Vegetation Starch Only    
Need To ReturnSample?     .
 
 
Cultural Affiliation Pollen and Parasite    
Need To ReturnSample?     .
 
 
Provenience for Samples Parasite Only    
Need To ReturnSample?     .
 
 
Site Description Macrofloral    
Need To ReturnSample?     .
 
 
Dates Botanical ID (Isolated Find)    
Need To ReturnSample?     .
 
 
Maps C-14 I.D.    
Need To ReturnSample?     .
 
 
w/ Site Locations Marked and UTM's Macro C-14    
Need To ReturnSample?     .
 
 
w/ Sample Locations marked in Site Protein    
Need To ReturnSample?     .
P.E.T    
Need To ReturnSample?     .
Note:  RUSH - Can cost up to 50% more than 
          Standard scheduled pricing. Fiber    
Need To ReturnSample?     .
Reservations help with scheduling and workflow.  
          They Are guidelines - not set in stone.   Other    
Need To ReturnSample?     .
                     
                     
Notes: &