Dpw Asset Form

To:

SURPLUS OR TRANSFER OF AN ASSET FORM

Supervisor and Town Board

Department Head:

Prepared By:

(Voi Qnoev

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) Ode Credunan 03309 Vooacle

(o\ taxoxd conkinu. Yh

O33O8

acyl

Desk

O80%D

Vocus

Nests 03430 Leccgele. Nes OFA Kocuche. Blog colors | A279. beige ls hel pv calasnal bk OF TGS Barycls

Date of Town Board Approval:

Once approved by the Town Board, please complete a Deletion/Transfer Forn, For Vehicles and Equipment complete a Vehicle/Motorized Equipment Form.

Send completed form to the Finance Director.

ccs Paula Freedman

Rothe Taned