SURPLUS OR TRANSFER OF AN ASSET FORM
To
Supervisor and Town Board
Department Head
Z wk Ke AM aly
Prepared By
wl Ie ha rAt Le yy,
Date
5 / Als/Alw
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) ZOLI Ferd F-1SO a5 "156 7 rade Un
Department Head Signature
(LL, (eg Pall
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.
ce: Paula Freedman Kathy Tanea
End of document