Sewer Asset Form

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.

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

OY & tev er ae An Onuwmus (Silver) Preece L

Weox Dell Ophelex 3080 Po O%6 365 Recyck— Ce mule Moruter OW Se Reexyele Wer Get Plex 0c- OG414 Reeyebe Dell epri plex 36080 PC. MOosos Reece Le

5 Department Head Signature: << wae

a

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.

ec: Paula Freedman Paul Adams