SURPLUS OR TRANSFER OF AN ASSET FORM
To
Supervisor and Town Board
qa: Patrick Stephens
Department Hea
Prepared By
Alison Zappolo Date: 10/27/2023
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) Wacker Plate Tamper 2420 Auction
— Pa Department Head Signature: JEEZ _
a a
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 Paul Adams
End of document