SURPLUS OR TRANSFER OF AN ASSET FORM
To
Supervisor and Town Board
Department Head
\.n TANNE Carns sty Oniloowe
Prepared By
Nove. Owuoter Date: araloor
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 | ASSETTAG# sis DISPOSITION (recycle, transfer, auction) |
| Die fod “Toure ; O095 — | Qechn
Department Head Signature
na.//m fof
Date of Town Board Appreyat:
Once approved by the Town Board, please complete a Deletion/lransfer Form. For Vehicles and Equipment complete a Vehicle/Motorized Equipment Form. Send completed form to the Finance Director.
ec: Paula Freedman Kathy Tanea
End of document