Asset form 1

Town of Webster

SURPLUS OR TRANSFER OF AN ASSET FORM

To:

Department Head:

Supervisor and Town Board

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) Kimo RMD a fretion ¢" Trash Pomp |Slatag osges~ | Geren Homblre Trash PowP |x 56 reg —0206( - Dictidn. Org 2 Drom crac les No Tag Qu teon

tsi SCOWSi* Ww oe “THe shi pomp

Homehré 2 Blowezd

Bloevag ~ O2057- Y

4

Blue TS ~ 03674

Qiretior

Chawe + Scraper S dabge- Colrcetor C Primera (aR CNA Ae

bi?

. 7 ton + O2ZIO3 oi

Department Head Signature:

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