SURPLUS OR TRANSFER OF AN ASSET FORM
To
Supervisor and Town Board
Department Head
“Tesh Aso Commaily Onusloesd —
Prepared By
_{Vlana
Date
2) Lg
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, an
| Dell Lodihide Ad Lio O74 Aci stoee oe aer T
Department Head Signature
Sibu VA
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.
ec; Paula Freedman Kathy Tanea
End of document