bfm/Equipment disposal-transfer form

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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
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