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INDIAN RIVER COUNTY <br />FORM FOR DISPOSAL/TRANSFER OF EXCESS PROPERTY Of - <br />TO: Raeanne Cone, Finance Department <br />DATE: January 29, 2018 <br />SUBJECT: Disposal/Transfer of Excess Property <br />FROM: John Ankeny <br />Check One: Surplus Transfer Trade -In X Non -Capital Missing/Stolen <br />Asset Number: N/A Department: Public Works/I'raflic Eng. Fleet Number: <br />Serial Number: <br />Description: Iteris Vantage Edge 2 Processor <br />Do you have possession of the asset? Yes X No <br />If Lost/Missing has a police report been filed? Yes N/A No <br />If yes, please attach a copy of the police report. If no, state reason: <br />Is the item functional/IVORKING CONDITION and could be used by another department? Yes No X <br />If not in working condition, description of problems with item: Cameras are not detecting vehicles <br />if transfer, department transferred to: N/A <br />Contact Person: John Ankeny Telephone Number: 772-226-1563 <br />Physical Location of asset: Traffic Operations -4548 41st Street <br />(The above information will aid Purchasing and Facilities Management in the process of equipment removal from department). <br />If asset will be replaced, please answer the following: <br />Purchase Order ►m er for Re lacement <br />Approval <br />tial Asset Custodian <br />Approvae <br />Approval <br />Date Replacement Received <br />Date <br />" ,the <br />Date <br />2 /2 <br />Date <br />If asset transfer, approval of devartnnent receiving asset: <br />Approval _ <br />Director Date <br />Additional Comments: <br />To be completed by Budget Department: <br />Approved for: Surplus Transfer Trade -In Replacement <br />Budget _ <br />Director Date <br />This form is 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 disposal/transfer of property now obsolete. <br />Revised: August 2015 <br />200 <br />