Sewer Asset Form

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Town of Webster

Surplus or Transfer of an Asset Form

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.

DISPOSITION HEM ASSET TAG # (recycle, transfer, auction) Isco 4150 . Are Velocity Mefer Ne TAG Regeh—

Department Head Signature;

Date of Town Board Approval:

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.

ce: Paula Freedman Paul Adams