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INDIAN RIVER COUNTY <br />INTER -OFFICE MEMORANDUM <br />TO: Raeanne Cone, Fixed Assets Management <br />DATE: January 31, 2011 <br />SUBJECT: Disposal of Excess Property <br />FROM: Traffic Engineering Division <br />Check One: Surplus Transfer Trade -In X Non -Capital Missing/Stolen <br />Asset Number: 22045 Fleet Number: N/A <br />Asset Description: TRAFFIC COUNTERS <br />Serial Number: 7013077-418 Do you have possession of the asset? Yes X No <br />If Lost/Missing has a police report been filed? Yes No <br />If Yes, Please attach a copy of the police report. If No, state reason: <br />Is the item functional? Yes No X <br />Description of problems with item: TRAFFIC COUNT DATA INCORRECT <br />Reason why item is excess: TRADE-IN <br />Does OMB need to review the transfer? Yes X No (maintenance impact) <br />Department transferred to: NJA <br />Contact Person: MS. MAYA MILLER Telephone Number: 772-226-1637 <br />(The above contact information will aid Purchasing and Facilities Management in the process of equipment removal from departments) <br />If asset will be replaced, please answer the following: <br />Requisition or Purchase Order Number for replacement: Date Replacement Received <br />Approval <br />Supervisor t Personnel <br />Approval <br />Director/ Assistant Director <br />Approval <br />Controller <br />Approval <br />OMB <br />Approved <br />Disposition Recorded: <br />Additional Comments: <br />Fixed Assets Department <br />Trade -In Replacement <br />Date <br />;. <br />r� <br />07 --ice � <br />Date <br />n <br />- <br />r ri <br />:Z <br />Date <br />P, ' <br />� <br />a <br />Date <br />s, <br />•: <br />Date <br />Date <br />It is the disposing department's responsibility to keep the item until Facilities Management can pick it up. <br />DO NOT REMOVE PROPERTY FROM YOUR LOCATION WITHOUT PROPER AUTHORIZATION FOR DISPOSAL <br />This form to be used for all property with or without an asset numbers <br />igned. <br />Please attach a copy of this form securely to the item being dispose:o0 <br />All other forms for transfer/disposal of property now obsolete. <br />Revised: January 2010 FEB 1 7 2011 <br />B I.idri <br />