DISPOSITION OF PROPERTY KANSAS STATE UNIVERSITY DFS Disposition No._____________________ 99999 Department No._____________________ Willie Wildcat Contact Person_____________________________________ Phone Number Email ( 785 ) - 532 Financial Services Department Name_________________________________________________ 1234 05/15/2013 Date Listed on Surplus Property website ____________________ willie@k-state.edu Surplus Property is to be disposed of within one (1) year Cond Code Dept. Disposition Code 500.00 1 3 2,150.00 Fluorometer 75.00 2 2 17 10/05 1,699.00 IMAC Computer Model/Serial # 4H522275RCT 50.00 1 4 11 06/03 3,795.00 Trailer Utility Flat Roadhog - Ser # 9FS222511191014 150.00 1 2 Property Number Sub Obj Code Inv Src C462513 3059 01 02/01 4,950.00 Used 1998 Chevy Caviliar VIN F259784136GHJW3 N/A 3049 na 08/99 IMAC05 3139 T459410 3019 Date Acquired mm/yy Inventory Cost Description Current Value EXAMPLE 3 WORKING ITEMS WITH AN ORIGINAL COST > $1,000 AND < $5,000 Explanation or Remarks: Department Approvals: We are not sure on the cost so have estimated the cost based on the age of the Fluorometer. If the trailer does not sell on the Surplus we will take it to Purple Wave. Condition Codes Disposition Codes Willie Wildcat 1. In working condition 1. Trade-In. 2. Not working - serviceable 2. Advertised fixed price or (Negotiated/Brokered price for specialized equipment). The KSU Surplus Property Public Listings website is available for use. 3. Not working - not serviceable 4. Obsolete - working 5. Obsolete - not working 3. Advertised sealed bid or advertised public auction (Contact the Purchasing Office regarding available auctioneering options, 532-6214) 6. Lost or stolen - FY ________ 4. Donate to Non-Profit Organization or Federal Surplus Property authorized recipients 7. Other________________________ 5. Cannibalize/Recycle/Sell to Junkyard/Trash ____________________________ By signing this form, I certify that proper procedures have been followed to ensure that University data cannot be recovered from any data storage devices in any equipment listed above. This is in accordance with PPM 3436 Media Sanitization and Disposal Policy available at: http://www.k-state.edu/policies/ppm/3436.html 6. Other___________________________________________________________________________________ ______________________________________________________________ Return To: Financial Reporting & Asset Management 21C Anderson Hall ______________________ June 03, 2013 Dr. Jonathan Smith ______________________ June 03, 2013 (Property Accountable Employee) (Department Authorized Person) __________ (Date) __________ (Date) Kansas State University Approval Fran Willbrant ______________________ (Division of Financial Services) June 06, 2013 __________ (Date)