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INDIAN RIVER COUNTY <br /> INTER-OFFICE MEMORANDUM <br /> Raeanne Cone, Fixed Assets Management <br /> DATE: 3/4/2013 <br /> SUBJECT: Disposal of Excess Property <br /> FROM: Indian River County <br /> Check One: Surplus x Transfer Trade-In Non-Capital Missing/Stolen <br /> Asset Number: 113910 Fleet Number: <br /> Asset Description: USI 27" Laminator <br /> Serial Number: 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 x No <br /> Description of problems with item: <br /> Reason why item is excess: <br /> Does OMB need to review the transfer? Yes x c (maintenance impact) <br /> Department transferred to: Youth Guidance ci Wiz. <br /> Contact Person: T phone Number: <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 31� 3 <br /> SuFi <br /> sor/Dept Personnel Date <br /> Approval <br /> Director/Assistant Director Date <br /> Approval <br /> Controller Date <br /> Approval <br /> Ot r Date <br /> OMB <br /> Manag r Date <br /> Approved for: Sur us Transfer Trade-In Replacement <br /> Disposition Recorde : <br /> Fixed Assets Department Date <br /> Additional Comments: <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 of. <br /> All other forms for transfer/disposal of property now obsolete. <br /> Revised: January 2010 <br /> 41 <br />