Assessment Asset Form 2

SURPLUS OR TRANSFER OF AN ASSET FORM

I request permission to surplus the following assets which are no longer of any use to my department.

Proposed disposition (recycie, transfer, auction) of the assets are listed.

ITEM ASSET TAG #

DISPOSITION (recycle, transfer, auction)

Dell (onde. 080")

Sat back tn Conpany

(Mtnty Shy! under Wat fanty

(ind ib (Ma Valeo L bate |

C Recy cle)

Date of Town Board Approval.

Once approved by the Town Board, please complete 2 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