PREPARED FOR

OUR VALUABLE CLIENTS

SHIP YOUR SAMPLES TO:

Address: HRIC 3A263330 Hospital Dr., N. W.Calgary, AB. Canada T2N 4N1

ISSUE DATE

FEB, 2017

Your Global Biomarker Laboratory

SHIPPING CHECKLIST AND

FORMS

2

Samples centrifuged then aliquoted into 0.6 mL microcentrifuge tubes.

Please DO NOT Parafilm or tape sample tubes.

0.6 mL tubes labeled with a letter and consecutive numbers (ie.S1, S2, S3)

0.6 mL tubes placed in a secondary package (ie. rack, box).

Dry ice added (4-10 kg) AND a dry ice label filled out (UN 1845). Please Get this Label

from your shipping department or the courier.

Eve Tech order confirmation email placed between Styrofoam and Cardboard INSIDE

box (not in shipping pouch).

Addresses on outside of package (in case waybill is lost).

Species, sample type, and infectious nature described on Waybill and on other

documents requiring a commodity description.

Please fill out, print, and tape the provided label to the outside of your box provided

on page 5.

International shipping: Additional items to include in document pouch:

3 copies of commercial invoice.

Declaration of Biological Samples With Destination Control Statement for US Clients.

Additional Details Can Be Found on Our Website.

Shipping Check list

COMMERCIAL INVOICE

INTERNATIONAL AIR WAYBILL NO.

SHIPPER'S EXPORT REFERENCES (i.e., order no., invoice no.)

(NOTE: All shipments must be accompanied by aAir Waybill & three copies of CI.)

(Please complete in English print)

DATE OF EXPORTATION

COUNTRY OF EXPORT

REASON FOR EXPORT(e.g. personal gift, return for repair)

COUNTRY

OF ORIGIN

I DECLARE ALL THE INFORMATION CONTAINED IN THE INVOICE TO BE TRUE AND CORRECT.

SIGNATURE OF SHIPPER/EXPORTER

NAME (PLEASE PRINT) TITLE (PLEASE PRINT) DATE

MARKS/

NO'S.

NO. OF

PKGS

TYPE OF

PACKAGING

TOTALPKGS

HS CODE QTY. UNIT OF

MEASURE

WEIGHT

TOTALWEIGHT

UNIT

VALUE

CURRENCY

Payment Method

L/CT/TOthers

F.O.B.C & FC.I.F.

Check if applicable

TOTAL

VALUE

TOTALINVOICEVALUE

Check one

IMPORTER - IF OTHER THAN CONSIGNEE (complete name, address and telephone)

SHIPPER / EXPORTER (complete name, address, telephone, Business Registration No./ Customs / Tax ID No. e.g. GST / RFC / VAT / IN / EIN / ABN / SSN, or as locally required )

CONSIGNEE (complete name, address, telephone, Business Registration No./ Customs / Tax ID No. e.g. GST / RFC / VAT / IN / EIN / ABN / SSN, or as locally required)

FULL DESCRIPTIONOF GOODS

Please State Species.

Please State Sample Type.

e.g. pieces,units, set.

lb / kg currency

Ultimate Country of Destination

Please provide three copies of this Commercial Invoice.

4

Declaration of Biological Shipments Please Complete this Form to Assist Your Courier in allowing for timely clearance of Biological Shipments into Canada

Name:

Date:

Total No. Of Packages:

Consignee:

Reason for Export: Analysis of Samples for Research Purposes.

The Above Shipment Contains: Please Check all that Apply

Human

Infectious Non-Infectious

Blood Serum Plasma

Animal

The following species may require a Health Certificate and Import License, please check your country’s regulations.

Bovine Sheep Goat Rabbit Feline

Canine Primate PorcineChicken Horse

Description of Packaging:

Special Handling:

Destination Control Statement (US)

These samples were exported from the United States in accordance with the Export Administration Regulations.

Diversion contrary to the U.S. Law is prohibited.

Signature:Name Print:

Health Certificate Attached:

Yes NoImporter’s License or Permit #

Phone: E-mail:

Mouse Rat

Sample Type

Blood Serum Plasma Other (Bones, Tissue, organs, etc.)

Sample Type

Are Your Samples Infectious?

Other (Bones, Tissue, organs, etc.)

Blood Serum Plasma Other (Bones, Tissue, organs, etc.)

Sample Type

5

To: Brenda Elliott Eve Technologies Corp. HRIC 3A26 3330 Hospital Dr., N. W. Calgary, AB. Canada T2N 4N1

403-210-9351

From: Name:

Address:

***The commodity in this package are biological samples being sent for analysis***

Species:

Human Non-Human Primate Mouse Rat Pig Feline Canine Horse

Other

Sample Type:

Serum Plasma Cell / Tissue Culture Tissue Homogenate Urine

Broncho-alveolar Lavage (BAL) Cerebral Spinal Fluid (CSF) Synovial Fluid

Other

Non-Infectious Infectious (CAT. B)

*Samples are frozen. No commercial value. For research testing only.*

Shipping Label

Fill out, print, and tape to outside of box.

6

Dry Ice Label

Dry Ice UN1845

9If the address of the shipper and recipient is not durably marked on the package, print it above (DO NOT WRITE OR MARK ON THE CLASS 9 LABEL)

____ kg

Shipper Recipient

Dry ice wt only (2 lbs = 1 kg)

DO NOT W

RITE OR M

ARK BELOW

THIS LINE

DO NOT WRITE OR MARK BELOW

THIS LINE

106426 11/13 RRD

The above is an example Dry Ice label. Please get this label from your shipping

department or the courier. This label can be used if the previous mentioned options

are not available. Please ensure all fields are filled in. (Shipper, Recipient, and

Weight)

Exempt Species Labels

Exempt Human Specimens or Exempt Animal Specimens Label on outer packaging

(if samples are non infectious.)

QUESTIONS? LET US KNOW

Ship your Samples to Eve at the below address:

Eve Technologies CorporationHRIC 3A263330 Hospital Dr., N. W.Calgary, AB. Canada T2N 4N1

Mail & WebM: contact@evetechnologies.comW: www.evetechnologies.com

Eve’s laboratory is located at the below

Eve Technologies CorporationHRIC 3A263330 Hospital Dr., N. W.Calgary, AB. Canada T2N 4N1

More detailed instructions can be found under resources at:

www.evetechnologies.com