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INDIAN RIVER COUNTY <br />INTER -OFFICE MEMORANDUM <br />f0: Raeanne Cone, Fixed Assets Management <br />DATE: January 31, 2011 B?p <br />Jj <br />SUBJECT: Disposal of Excess Property'4iV <br />FROM: Traffic Engineering Division <br />Check One: Surplus Transfer Trade -In X Non -Capital Missing/Stolen <br />Asset Number: 22912 Fleet Number: N/A <br />Asset Description: TRAFFIC COUNTERS <br />Serial Number: 5061816,418 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: N/A <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: 21}2 Date Replacement Received <br />Approval <br />pt Personnel <br />Approval <br />Director / Assistant Director <br />Approval <br />Controller <br />Approval <br />OMB <br />Approved <br />Disposition Recorded: <br />Fixed Assets Department <br />Additional Comments: <br />Trade -In Replacement <br />Date <br />OZ -1 <br />Date <br />y� <br />Date o <br />Date <br />m <br />Date <br />r.; <br />0 <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 number assigned. <br />Please attach a copy of this form securely to the item being dispole,c 91f.EZ; 5 <br />All other forms for transfer/disposal of property now obsolete. <br />Revised: January 2010 <br />FEB 1 7 2011 <br />