Declaration of Surplus/Obsolete Furniture/Equipment (To be completed as appropriate and forwarded to Facilities Management Services) Department/Division: _______________________________________________________________________ Item # Description Mfr. Model # Serial # Inv. # * Cond. * Cond. - Condition "E" (Excellent), "G" (Good), "F" (Fair), "S" (Scrap) Attach on a separate list, known firm(s)/institution(s) interested in the purchase of this equipment. Requested by: _________________________________________________ Date: Supported by: _________________________________________________ Approved by: Department Head __________________________ ___________________ Vice-President FACILITIES MANAGEMENT SERVICES USE ONLY / INVENTORY RECORDS & CONTROL [ [ [ [ ] ] ] ] Item(s) declared scrap – obtain, scrap and remove from IR&C Records Item(s) declared temporary surplus; location: ____________________________________How Long?__________________ Item(s) to be relocated; new location: ______________________________________________________________________ Item(s) declared surplus/obsolete – remove from IR&C Records. Temporary storage location pending external disposal: ___________________________________________________________________________________________________________ [ ] Forward to Purchasing for external disposal process Requested by: _________________________________________________________ _____________________________________ Manager, Facilities Management Services Date Approved by: _________________________________________________________ _____________________________________ Director, Facilities Management Services Date PURCHASING DEPARTMENT ONLY External Disposal Approved: ________________________________________________ Director, Financial Services [ ] Accounting - cheque attached. Transaction complete. Declaration of Surplus/Obsolete Furniture/Equipment (To be completed as appropriate and forwarded to Facilities Management Services) [ ] [ ] Inventory Record & Control – External disposal completed; adjust records as appropriate. Inventory Record & Control – Disposal not accomplished – scrap. SGD File # ___________________Credit Account # ____________________$ _________________ No Charge _______ Requested by: ___________________________________________________ _________________________________ Purchasing Date