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INDIAN RIVER COUNTY <br />FORM FOR DISPOSAL OF EXCESS CAPITAL OR ATTRACTIVE PROPERTY <br />TO: <br />DATE: <br />SUBJECT <br />FROM: <br />Check One: <br />Jason Brown, Finance Department <br />12/6/2024 <br />Disposal of Excess Capital or Attractive Property <br />Lee Miller <br />Surplus Trade -In Missing/Stolen <br />Asset Number: 23511 <br />Serial Number: 2006013 <br />Department #: Fleet Number: <br />Description: 20,000 LB 2 -Post Vehicle Lift <br />Do you have possession of the asset? Yes _ 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/WORKING CONDITION? <br />If not in working condition, description of problems with item: <br />Mileage/hours: <br />Describe any mechanical issues: <br />Date last operated: <br />Yes IiL No <br />Current lift will be given to installer of new lift for disposal. <br />Custodian: Lee Miller <br />Physical Location of asset: Fleet Management <br />If asset will be replaced, please enter the following: <br />Telephone Number: 772-226-4394 <br />Purchase Order Number for Replacement: 101086 Date Replacement Received <br />Digitally signed by Lee Miller <br />Approval Date: 2024.12.06 13:10:10 -05'00' <br />Capital Asset Custodian Date <br />Approval <br />Supervisor/Manager Date <br />Approval Addie Javed",m <br />Director Date <br />Additional Comments: <br />To be completed by Budget Department: <br />Approved for: Surplus Trade -In Replacements <br />Kristin Daniels <br />Budget/Finance <br />Date <br />December 2024 <br />IT IS THE DISPOSING DEPARTMENT'S RESPONSIBILITY TO KEEP THE ITEM UNTIL CONTACTED BY PURCHASING TO SCHEDULE A TIME TO <br />DROP OFF THE ITEMS AT THE PURCHASING WAREHOUSE. <br />DO NOT REMOVE PROPERTY FROM YOUR LOCATION WITHOUT PROPER AUTHORIZATION FOR DISPOSAL. <br />This form is to be used for all property with 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 are now obsolete. <br />Revised: October 2024 <br />136 <br />