Sewer Asset Form 6 · Webster Civic

Town of Webster

Surplus or Transfer of an Asset Form

Supervisor and Town Board

Department Head

Ar t Pe trons

Prepared By

WJarcarne Kot

Date

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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.

___ eM | ASSET TAG # ro Re TON ticn) sd gitar Te : #4 aw TAG 3872 Receele. Generee Genwrator i 2 Ble Auwehion suloroalae Nerchon.

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Department Head Signature

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Date of Town Board Approval

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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.

cc! Paula Freedman Paw} Adams

End of document