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UNMC Requisition Form for Speed Congenic Service

C.B. Gurumurthy, Ph.D.
Mouse Genome Engineering Core Director


Required fields*.

Date: 01/23/2018


Principal Investigator:*  Contact Person:*
PI Email:* Contact E-mail:*
PI Phone:* Contact Phone:*
Cost/Center Number:*  
Name of Mouse Line/Mutant:*  
Generation Number (If known):  
Number of Samples:* (Preferably labelled 1, 2, 3...)  
Donor Strain:*  
Recipient Strain:*  
Control Samples Provided:    Donor:* yes no      Recipient:* yes no  

Sample Details

Sample ID Sex
1 M F
2 M F
3 M F
4 M F
5 M F
6 M F
7 M F
8 M F
9 M F
10 M F
11 M F
12 M F
13 M F
14 M F
15 M F
16 M F
17 M F
18 M F
19 M F
20 M F
21 M F
22 M F
23 M F
24 M F
25 M F

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