SURPLUS OR TRANSFER OF AN ASSET FORM
To:
Department Head:
Supervisor and Town Board
Prepared By:
Marien nae bee ne
e/o/25
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.
ITEM ASSET TAG # DISPOSITION (recycle, transfer, auction) Mt wer BR 3x53 Reeyhe Mirer # 39¢64 Rec ole Py flable Ge tee # Fo | Recycle Y¥sj 55 AN OFEN7157 A8 for tabls TO Meter Ke “Fak i Recsebe ; NO TAG, mM ohtwning M irer SIN $194 346 (03 feeyche ‘ N > TWG light ng Miner Model tage isvm Reercle— pP ump /Votoy NO The Reeey CLe..
Wo t(*n&o
y Department Head Signature: KZ | ane
Date of Town Board Approval:
Once approved by the Town Board, please complete a Deletion/Transfer Form. For Vehicles and Equipment complete a Vehicle/Motorized Equipment Form.
Send completed form to the Finance Director.
ce: Paula Freedman Kathy Tanea