09/17/2013AP - Laserfiche WebLink

Home Browse Search

INDIAN RIVER COUNTY INTER-OFFICE MEMORANDUM TO: Raeanne Cone, Fixed Assets Management CT: Disposal of Excess Property F Check One: Surplus Transfer Trade-I x Non-Capital Missing/Stolen Asset Number: 21949 Fleet Number: 601 Asset Description: 2004 Chevy Blazer $20,935 Serial Number: 1 GNDT13X24K154234 Do you have possession of the asset? Yes x No If Lost/Missing has a police report been filed? Yes No If Yes, Please attach a copy of the police report. If No,state reason: Is the item functional? Yes x No Description of problems with item: Reason why item is excess: to offset purchase of new vehicle Does OMB need to review the transfer? Yes No x (maintenance impact) Department transferred to: Contact Person: Debbie Clemenzi Telephone Number: 772-226-1479 (The above contact information will aid Purchasing and Facilities Management in the process of equipment removal from departments) If asset will be replaced, please answer the following: Requisition or Purch se Order Number for replacement: Date Replacement Received 9/17/13 Approval /'/p-13 Supervisor/Dept Personnel Date Acoval Director/Assistant Director Date Approval Controller Date Approval Other Date OMB Manager Date Approved for: Surplus Transfer Trade-In Replacement Disposition Recorded: Fixed Assets Department Date Additional Comments: It is the disposing department's responsibility to keep the item until Facilities Management can pick it up. 00 NOT REMOVE PROPERTY FROM YOUR LOCATION WITHOUT PROPER AUTHORIZATION FOR DISPOSAL This form to be used for all property with or without an asset number assigned. Please attach a copy of this form securely to the item being disposed of. All other forms for transfer/disposal of property now obsolete. Revised:January 2010 (MI111 15