Shipper Supplier to Complete (All fields required.)
1 Supplier Name
2 Columbia Gear Part Number
3 Columbia Gear P.O. Number
4 Columbia Gear Line Number
5 Quantity - Good
6 Quantity - Scrap
7 Shipped To
8 Shipped Via
9 Pack Slip #
10 B.O.L. #
11 Date Shipped
12 Signed By
Attach Material Certification:   

** NO OVER OR UNDER SHIPMENTS ALLOWED WITHOUT PRIOR AUTHORIZATION FROM
COLUMBIA GEAR PURCHASING. **