070125 Signed Surplus Approval Form

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.

ITEM ASSET TAG # DISPOSITION (recycle, transfer, auction)

StertilKoni Lift (Hwy. #18527) 7270 Auction Quincy Upright Air Compressor (Hwy. #18521) 2342 Au ction Quincy Air Compressor (Hwy. #18523) 2341 Auction Waste Oil Burner (Hwy. #18559) 2537 Auction Reznor Hanging Heater No Asset Tag Auction Re-Verber-Ray Hanging Heater No Asset Tag Auction

ae Department Head Signature: 2 ZFS Sa 7-2-2028

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.

cc: Paula Freedman Paul Adams