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. **