Pdf Surplus or Transfer Form MicroFiche xfer to Records Management

SURPLUS OR TRANSFER OF AN ASSET FORM

To:

Supervisor and Town Board

Danene M. Marr Department Head

______________________________________

AnnMarie Champagne Prepared By

__________________________________________ 4/28/2026 Date: ______________________________ 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)

MicroFiche Reader

3108

Transfer

Department Head Signature

____________________________ 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.

cc: Paula Freedman Paul Adams

End of document