[ { "page": 1, "items": [ { "page": 1, "type": "TEXT", "location": { "l": 108, "t": 768, "r": 206.16, "b": 697.44 }, "text": "MONTANA\nVETERINARY\nDIAGNOSTIC\nLABORATORY", "reading_order": 0 }, { "page": 1, "type": "TEXT", "location": { "l": 433.2, "t": 770.88, "r": 590.88, "b": 722.88 }, "text": "PHONE: (406) 994-4885\nFAX: (406) 994-6344\nWEBSITE: www.liv.mt.gov/lab\nWEB RESULTS: https://mvdl.mt.gov\nE-MAIL: mvdl@mt.gov", "reading_order": 1 }, { "page": 1, "type": "TITLE", "location": { "l": 52.32, "t": 679.44, "r": 198.48, "b": 665.76 }, "text": "MVDL SUPPLY ORDER FORM", "reading_order": 2, "level": 2 }, { "page": 1, "type": "TITLE", "location": { "l": 490.08, "t": 688.08, "r": 556.32, "b": 674.64 }, "text": "Clear Form", "reading_order": 3, "level": 2 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 481.956, "t": 692.212, "r": 564.572, "b": 672.212 }, "text": "Clear Form", "field_kind": "button", "label": "Clear Form", "pdf_field_name": "Clear Form", "pdf_field_type": "Button", "reading_order": 4 }, { "page": 1, "type": "TEXT", "location": { "l": 53.04, "t": 663.12, "r": 555.84, "b": 626.4 }, "text": "Please see our website to access the MVDL Submission Guide & Fee Schedule for additional information\nPlease contact MVDL to inquire about USDA-regulated program (e.g., livestock market & slaughter) supply orders\nDue to biosecurity best practices, MVDL will not return Styrofoam or cardboard shippers listed below to submitters for reuse", "reading_order": 5 }, { "page": 1, "type": "TABLE", "location": { "l": 51.84, "t": 610.56, "r": 564.24, "b": 401.52 }, "text": "
ITEMCOSTQUANTITY
The following specimen collection and mailing supplies are available; material cost + $2.00 handling + current shipping fees are applied when processed
Abortion Kit$5.00
Neonatal Diarrhea (Scours) Kit$5.00
Necropsy Kit$5.00
Biopsy Kit$5.00
Blood Tube Shipper – small Styrofoam – holds (5) 10cc tubes$2.50
Blood Tube/Slide Shipper – medium Styrofoam – holds (4) 10cc tubes + (4) slides$5.00
Blood Tube/Slide Shipper – large Styrofoam – holds (8) 10cc tubes + (4) slides$7.50
Blood Tube Shipper – cardboard – holds (100) 10cc tubes$3.00
Campylobacter tubes (10)$20.00
Tritrichomonas foetus physiological saline tubeNo cost
", "rows": [ { "row_index": 0, "location": [ 51.84, 593.14, 564.24, 610.56 ], "cells": [ { "location": [ 51.84, 593.14, 222.64, 610.56 ], "text": "ITEM", "html_text": "ITEM", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": true, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 222.64, 593.14, 393.44, 610.56 ], "text": "COST", "html_text": "COST", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": true, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 393.44, 593.14, 564.24, 610.56 ], "text": "QUANTITY", "html_text": "QUANTITY", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": true, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 1, "location": [ 51.84, 575.72, 564.24, 593.14 ], "cells": [ { "location": [ 51.84, 575.72, 564.24, 593.14 ], "text": "The following specimen collection and mailing supplies are available; material cost + $2.00 handling + current shipping fees are applied when processed", "html_text": "The following specimen collection and mailing supplies are available; material cost + $2.00 handling + current shipping fees are applied when processed", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 3, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 2, "location": [ 51.84, 558.3, 564.24, 575.72 ], "cells": [ { "location": [ 51.84, 558.3, 222.64, 575.72 ], "text": "Abortion Kit", "html_text": "Abortion Kit", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 222.64, 558.3, 393.44, 575.72 ], "text": "$5.00", "html_text": "$5.00", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 393.44, 558.3, 564.24, 575.72 ], "text": "", "html_text": "", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 3, "location": [ 51.84, 540.88, 564.24, 558.3 ], "cells": [ { "location": [ 51.84, 540.88, 222.64, 558.3 ], "text": "Neonatal Diarrhea (Scours) Kit", "html_text": "Neonatal Diarrhea (Scours) Kit", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 222.64, 540.88, 393.44, 558.3 ], "text": "$5.00", "html_text": "$5.00", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 393.44, 540.88, 564.24, 558.3 ], "text": "", "html_text": "", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 4, "location": [ 51.84, 523.46, 564.24, 540.88 ], "cells": [ { "location": [ 51.84, 523.46, 222.64, 540.88 ], "text": "Necropsy Kit", "html_text": "Necropsy Kit", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 222.64, 523.46, 393.44, 540.88 ], "text": "$5.00", "html_text": "$5.00", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 393.44, 523.46, 564.24, 540.88 ], "text": "", "html_text": "", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 5, "location": [ 51.84, 506.04, 564.24, 523.46 ], "cells": [ { "location": [ 51.84, 506.04, 222.64, 523.46 ], "text": "Biopsy Kit", "html_text": "Biopsy Kit", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 222.64, 506.04, 393.44, 523.46 ], "text": "$5.00", "html_text": "$5.00", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 393.44, 506.04, 564.24, 523.46 ], "text": "", "html_text": "", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 6, "location": [ 51.84, 488.62, 564.24, 506.04 ], "cells": [ { "location": [ 51.84, 488.62, 222.64, 506.04 ], "text": "Blood Tube Shipper – small Styrofoam – holds (5) 10cc tubes", "html_text": "Blood Tube Shipper – small Styrofoam – holds (5) 10cc tubes", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 222.64, 488.62, 393.44, 506.04 ], "text": "$2.50", "html_text": "$2.50", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 393.44, 488.62, 564.24, 506.04 ], "text": "", "html_text": "", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 7, "location": [ 51.84, 471.2, 564.24, 488.62 ], "cells": [ { "location": [ 51.84, 471.2, 222.64, 488.62 ], "text": "Blood Tube/Slide Shipper – medium Styrofoam – holds (4) 10cc tubes + (4) slides", "html_text": "Blood Tube/Slide Shipper – medium Styrofoam – holds (4) 10cc tubes + (4) slides", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 222.64, 471.2, 393.44, 488.62 ], "text": "$5.00", "html_text": "$5.00", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 393.44, 471.2, 564.24, 488.62 ], "text": "", "html_text": "", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 8, "location": [ 51.84, 453.78, 564.24, 471.2 ], "cells": [ { "location": [ 51.84, 453.78, 222.64, 471.2 ], "text": "Blood Tube/Slide Shipper – large Styrofoam – holds (8) 10cc tubes + (4) slides", "html_text": "Blood Tube/Slide Shipper – large Styrofoam – holds (8) 10cc tubes + (4) slides", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 222.64, 453.78, 393.44, 471.2 ], "text": "$7.50", "html_text": "$7.50", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 393.44, 453.78, 564.24, 471.2 ], "text": "", "html_text": "", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 9, "location": [ 51.84, 436.36, 564.24, 453.78 ], "cells": [ { "location": [ 51.84, 436.36, 222.64, 453.78 ], "text": "Blood Tube Shipper – cardboard – holds (100) 10cc tubes", "html_text": "Blood Tube Shipper – cardboard – holds (100) 10cc tubes", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 222.64, 436.36, 393.44, 453.78 ], "text": "$3.00", "html_text": "$3.00", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 393.44, 436.36, 564.24, 453.78 ], "text": "", "html_text": "", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 10, "location": [ 51.84, 418.94, 564.24, 436.36 ], "cells": [ { "location": [ 51.84, 418.94, 222.64, 436.36 ], "text": "Campylobacter tubes (10)", "html_text": "Campylobacter tubes (10)", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 222.64, 418.94, 393.44, 436.36 ], "text": "$20.00", "html_text": "$20.00", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 393.44, 418.94, 564.24, 436.36 ], "text": "", "html_text": "", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 11, "location": [ 51.84, 401.52, 564.24, 418.94 ], "cells": [ { "location": [ 51.84, 401.52, 222.64, 418.94 ], "text": "Tritrichomonas foetus physiological saline tube", "html_text": "Tritrichomonas foetus physiological saline tube", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 222.64, 401.52, 393.44, 418.94 ], "text": "No cost", "html_text": "No cost", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 393.44, 401.52, 564.24, 418.94 ], "text": "", "html_text": "", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" } ], "n_rows": 12, "n_cols": 3, "ref": "#/tables/0", "reading_order": 6 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 486.6, "t": 565.68, "r": 562.32, "b": 549.96 }, "text": "5.00", "field_kind": "text", "label": "5.00", "pdf_field_name": "Quantity_Ab Kit", "pdf_field_type": "Text", "reading_order": 7 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 486.6, "t": 549.36, "r": 562.32, "b": 533.64 }, "text": "5.00", "field_kind": "text", "label": "5.00", "pdf_field_name": "Quantity_Neonatal Kit", "pdf_field_type": "Text", "reading_order": 8 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 486.6, "t": 532.92, "r": 562.32, "b": 517.2 }, "text": "5.00", "field_kind": "text", "label": "5.00", "pdf_field_name": "Quantity_Necropsy Kit", "pdf_field_type": "Text", "reading_order": 9 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 486.6, "t": 516.6, "r": 562.32, "b": 500.88 }, "text": "5.00", "field_kind": "text", "label": "5.00", "pdf_field_name": "Quantity_Biopsy Kit", "pdf_field_type": "Text", "reading_order": 10 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 486.6, "t": 500.28, "r": 562.32, "b": 484.56 }, "text": "2.50", "field_kind": "text", "label": "2.50", "pdf_field_name": "Quantity_5 tube", "pdf_field_type": "Text", "reading_order": 11 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 486.6, "t": 483.96, "r": 562.32, "b": 468.24 }, "text": "5.00", "field_kind": "text", "label": "5.00", "pdf_field_name": "Quantity_4 tube 4 slide", "pdf_field_type": "Text", "reading_order": 12 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 486.6, "t": 467.52, "r": 562.32, "b": 451.8 }, "text": "7.50", "field_kind": "text", "label": "7.50", "pdf_field_name": "Quantity_8 tube 4 slide", "pdf_field_type": "Text", "reading_order": 13 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 486.6, "t": 451.2, "r": 562.32, "b": 435.48 }, "text": "2.00", "field_kind": "text", "label": "2.00", "pdf_field_name": "Quantity_100 tube", "pdf_field_type": "Text", "reading_order": 14 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 486.6, "t": 434.88, "r": 562.32, "b": 419.16 }, "text": "20.00", "field_kind": "text", "label": "20.00", "pdf_field_name": "Quantity_10 Campy", "pdf_field_type": "Text", "reading_order": 15 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 486.6, "t": 418.56, "r": 562.32, "b": 402.84 }, "text": "No cost", "field_kind": "text", "label": "No cost", "pdf_field_name": "Quantity_1Tf", "pdf_field_type": "Text", "reading_order": 16 }, { "page": 1, "type": "TEXT", "location": { "l": 52.32, "t": 382.56, "r": 558, "b": 366.0343 }, "text": "SUBMISSION FORMS", "reading_order": 17 }, { "page": 1, "type": "TEXT", "location": { "l": 52.32, "t": 366.0343, "r": 558, "b": 349.5086 }, "text": "The following may be downloaded from our website.", "reading_order": 18 }, { "page": 1, "type": "TEXT", "location": { "l": 52.32, "t": 349.5086, "r": 558, "b": 332.9829 }, "text": "Single Animal Submission Form", "reading_order": 19 }, { "page": 1, "type": "TEXT", "location": { "l": 52.32, "t": 332.9829, "r": 558, "b": 316.4571 }, "text": "Multiple Animal Submission Form", "reading_order": 20 }, { "page": 1, "type": "TEXT", "location": { "l": 52.32, "t": 316.4571, "r": 558, "b": 299.9314 }, "text": "Salmonella Testing Submission Form", "reading_order": 21 }, { "page": 1, "type": "TEXT", "location": { "l": 52.32, "t": 299.9314, "r": 558, "b": 283.4057 }, "text": "The following may be ordered from the Montana Department of Livestock Animal Health Office: 406-444-2976", "reading_order": 22 }, { "page": 1, "type": "TEXT", "location": { "l": 52.32, "t": 283.4057, "r": 558, "b": 266.88 }, "text": "EIA, e.g., VS10-11", "reading_order": 23 }, { "page": 1, "type": "TEXT", "location": { "l": 80.16, "t": 251.52, "r": 237.84, "b": 231.6 }, "text": "SHIPTO:", "reading_order": 24 }, { "page": 1, "type": "TABLE", "location": { "l": 237.84, "t": 251.52, "r": 553.2, "b": 151.92 }, "text": "
SHIPTO:Veterinarian's Name:
Clinic Name:
Billing Account Number (required):
Shipping Address:
Phone:
", "rows": [ { "row_index": 0, "location": [ 80.16, 231.6, 553.2, 251.52 ], "cells": [ { "location": [ 237.84, 231.6, 395.52, 251.52 ], "text": "Veterinarian's Name:", "html_text": "Veterinarian's Name:", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/2" }, { "location": [ 395.52, 231.6, 553.2, 251.52 ], "text": "", "html_text": "", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/2" } ], "ref": "#/tables/2" }, { "row_index": 1, "location": [ 80.16, 211.68, 553.2, 231.6 ], "cells": [ { "location": [ 237.84, 211.68, 395.52, 231.6 ], "text": "Clinic Name:", "html_text": "Clinic Name:", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/2" }, { "location": [ 395.52, 211.68, 553.2, 231.6 ], "text": "", "html_text": "", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/2" } ], "ref": "#/tables/2" }, { "row_index": 2, "location": [ 80.16, 191.76, 553.2, 211.68 ], "cells": [ { "location": [ 237.84, 191.76, 395.52, 211.68 ], "text": "Billing Account Number (required):", "html_text": "Billing Account Number (required):", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/2" }, { "location": [ 395.52, 191.76, 553.2, 211.68 ], "text": "", "html_text": "", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/2" } ], "ref": "#/tables/2" }, { "row_index": 3, "location": [ 80.16, 171.84, 553.2, 191.76 ], "cells": [ { "location": [ 237.84, 171.84, 395.52, 191.76 ], "text": "Shipping Address:", "html_text": "Shipping Address:", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/2" }, { "location": [ 395.52, 171.84, 553.2, 191.76 ], "text": "", "html_text": "", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/2" } ], "ref": "#/tables/2" }, { "row_index": 4, "location": [ 80.16, 151.92, 553.2, 171.84 ], "cells": [ { "location": [ 237.84, 151.92, 395.52, 171.84 ], "text": "Phone:", "html_text": "Phone:", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/2" }, { "location": [ 395.52, 151.92, 553.2, 171.84 ], "text": "", "html_text": "", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/2" } ], "ref": "#/tables/2" } ], "n_rows": 5, "n_cols": 2, "ref": "#/tables/2", "reading_order": 25 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 246.6, "t": 255.12, "r": 552.84, "b": 239.4 }, "text": "Veterinarian’s Name", "field_kind": "text", "label": "Veterinarian’s Name", "pdf_field_name": "Veterinarians Name", "pdf_field_type": "Text", "reading_order": 26 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 246.6, "t": 234.48, "r": 552.84, "b": 218.76 }, "text": "Clinic Name", "field_kind": "text", "label": "Clinic Name", "pdf_field_name": "Clinic Name", "pdf_field_type": "Text", "reading_order": 27 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 246.6, "t": 213.84, "r": 552.84, "b": 198.12 }, "text": "Billing Account Number (required", "field_kind": "text", "label": "Billing Account Number (required", "pdf_field_name": "Billing Account Number required", "pdf_field_type": "Text", "reading_order": 28 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 246.6, "t": 193.2, "r": 552.84, "b": 177.48 }, "text": "Shipping Address", "field_kind": "text", "label": "Shipping Address", "pdf_field_name": "Shipping Address", "pdf_field_type": "Text", "reading_order": 29 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 245.88, "t": 172.44, "r": 552.84, "b": 156.72 }, "text": "Phone", "field_kind": "text", "label": "Phone", "pdf_field_name": "Phone", "pdf_field_type": "Text", "reading_order": 30 }, { "page": 1, "type": "TITLE", "location": { "l": 176.64, "t": 135.6, "r": 413.28, "b": 122.4 }, "text": "PLEASE PRINT AND EMAIL, MAIL, OR DELIVER TO MVDL", "reading_order": 31, "level": 2 }, { "page": 1, "type": "TITLE", "location": { "l": 41.28, "t": 116.4, "r": 110.16, "b": 105.12 }, "text": "LABORATORY USE:", "reading_order": 32, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 62.16, "t": 108.24, "r": 565.92, "b": 44.64 }, "text": "DATE RECEIVED/INITIALS: DATE SHIPPED/INITIALS: TOTAL MATERIALS & SHIPPING FEE/INITIALS:", "reading_order": 33 } ] } ]