| Asset form 2 · Webster Civic

Town of Webster

Surplus or Transfer of an Asset Form

Supervisor and Town Board

Department Head

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Prepared By

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Date

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Trequest 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.

DISPOSITION EM ASSET TAG # (recycle, transfer, auction) Pulsatven Electvome | SVS A300 T CSeG A = Mette Zornol pene! pr ‘ i Vo Tag. Auc a5 } one od

Department Head Signature

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Date of Town Board Approval

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Ouce 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.

ce: Paula Freedman Paul Adams

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