SURPLUS OR TRANSFER OF AN ASSET FORM
To
Supervisor and Town Board
Department Head
__>onna Konne.
Prepared By
Kris Lomberda
Date
Slap la \p
1 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 # DIS TION (recycle (transfed, auction) 3B dtaer Lateral file. 00342] Hans pr +p Sewer Dr UY She lF wooden Pookrax| AIRS Tanster to Saver Dept
Department Head Signature
Urus 4 om 5 [20 | tb
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.
End of document