CHARLES COUNTY PUBLIC SCHOOLS TEXTBOOKS, SENSITIVE INVENTORY ITEM, EQUIPMENT, OR FIXED ASSETS DISPOSITION FORM DISPOSE School/Department: TRANSFER Contact Name: RESELL Date: DIRECTIONS: Complete sections A for textbooks and submit to Assistant Superintendent of Instruction. Complete sections B for sensitive inventory item, equipment or fixed assets and submit to Asst. Supt. of School Adm. SECTION A - TEXTBOOKS Title and Author of textbook: Number of copies to discard: Copyright date: Reason for discard: Disposition (circle): Auction Discard Transfer to or Available to other locations (include a contact person’s name) Principal’s/Supervisor’s signature Date Assistant Superintendent/Superintendent’s signature Date Purchasing Manager’s signature Date I verify that the above items were picked-up Date I verify that the above items were transferred Date SECTION B – SENSITIVE INVENTORY ITEM, EQUIPMENT OR FIXED ASSETS Type of equipment/fixed asset or furniture: (Note: For multiple items please attach a list) Model: Manufacturer: Fixed Asset barcode #: Serial #: Original funding for this equipment (if known circle): Local Grant (name): Other: Disposition (circle): Auction/Resell Dispose Transfer to or Available to other locations (include a contact person’s name) Reason for discard: Location of discarded items: Principal’s/Supervisor’s signature Date Assistant Superintendent/Superintendent’s signature Date Purchasing Manager’s signature Date Sensitive Inventory Custodian Date I verify that the above items were picked-up Date I verify that the above items were transferred Date ROUTING: 1. Principal/Department Head signs and sends to Asst. Supt. of Instruction or Asst. Supt. of School Adm. 2. Assistant Superintendent signs and sends to Accounting. 3. Warehouse arranges for pickup and disposition. REVISED July 2013