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INDIAN RIVER COUNTY <br />INTER -OFFICE MEMORANC <br />O: Raeanne Cone, Fixed Assets Management <br />DATE: January 31, 2011 <br />SUBJECT: Disposal of Excess Property <br />FROM: Traffic Engineering Division <br />Check One: <br />Asset Number: <br />Asset Description: <br />Serial Number: <br />Surplus <br />22903 <br />Transfer Trade -In X Non -Capital Missing/Stolen <br />Fleet Number: N/A <br />TRAFFIC COUNTERS <br />5061730-418 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: '2 Date Replacement Received <br />Approval <br />Supervisor . pt Personnel <br />Approval <br />Director / Assistant Director <br />Approval <br />Controller <br />Approval <br />Other \ <br />OMB <br />Manage <br />Approved for: <br />Disposition Recorded: <br />Additional Comments: <br />Transfer <br />Fixed Assets Department <br />Trade -In Replacement <br />Date <br />Date � <br />Date a <br />c� o <br />M <br />Date <br />-� <br />� <br />n <br />s <br />r� <br />Date <br />r <br />n <br />i-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 disposed oV VAt <br />All other forms for transfer/disposal of property now obsolete. <br />Revised: January 2010 FEB 1 7 2011 <br />