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Nino, INDIAN RIVER COUNTY INTER -OFFICE MEMORANDUM TO: Raeanne Cone, Fixed Assets Management DATE: August 25, 2014 SUBJECT: Disposal of Excess Property FROM: Check One: Surplus Transfer Trade -In X Non -Capital Lost/Stolen Asset Number. N/A Fleet Number: N/A Asset Description: (2) Iteris Traffic Video Detection Comers Serial Number. 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 No X Descripition of problems with item: NO LONGER OPERATES PROPERLY Reason why item is excess: STRUCK BY LIGHTENING Does OMB need to review the transfer? Yes No X (maintenance impact) Department transferred to: Contact Person: KENNY JORDAN Telephone Number. 772-226-3462 (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 Purchase Order Number fo replacement: Approv I FAIr Sup- ' /Dept Personne Approval Approval Approval OMB Direc or / Assistant Director Controller Other Manager Approved for. Sur us Transfer Trade -In Disposition Recorded: Additional Comments: Date Replacement Received Replacement �9/iq D Date Date Date / Fixed Assets Department Dote It is the disposing department's responsibility to keep the item until Facilities Management can pick It up. DO 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 150