Police Asset Form 1

Town of Webster

Surplus or Transfer of an Asset Form

I request permission to surplus the following assets which are no longer of any use to my department.

Proposed disposition (recycle, transfer, auction) of the assets are listed.

DISPOSITION

TEM ASSET TAG # (recycle, transfer, auction) — 1-Glock 47COA - Duty gun sn CFNS979 890922 Transfer - Retired Lt. Jeffrey Webster to purchase Patrol vehicle roof lights (2004) 4101 Auctioned Lot - weapon accessories (2010) 5140 Transfer (traded in) | Mobile License Plate Reader (2009) 5122 Recycle |

Department Head Signatures QO

Date of Town Board Approval:

Once approved by the Town Board, please complete a Deletion or Transfer Form, For Vehicles and Equipment complete a Vehicle/Motorized Equipment Form.

Send completed form to the Finance Director.

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ee: Paula Freedman Paul Adams