File

Transcription

File

EXECUTIVE SUMMARY
D
President's Transmittal
1:81
Board Transmittal
0
Action
!81Consent
Recommendation that the Broward College Board of Trustees authorize Disposal, trade-in,
donation or sale by bid of surplus property assets for the month of February 2014.
Presenter: John Dunnuck, VP Operations
Considerations: The equipment on the attached list has been declared surplus, obsolete, or
unserviceable by the property custodian (using department). Authorization is requested to dispose,
trade-in, donate or sell the equipment in the method that is in the best interest of the college and in
accordance with applicable policies, procedures and statutes regarding disposal of surplus property.
How does this impact student success: Continuous improvement through inventory control.
What Specific Goal of the Strategic Master Plan is advanced through this action: Goal 3 - Initiative
3.1.2 - Improve the efficiency of indirect student support.
Fiscal Impact: N/A
Small Business Firm:
Yes
D
No
D
N/A
1:81
Broward Firm:
Yes
D
No
D
N/ A
1:81
Prepared by: Zaida Riollano, Interim AVP, Business Services and Resource Management · &
Reviewed by:
N/A
Attorney's Office
Budget Office
__ Q
IZl<$6Sk
SVP, Howdyshell or Olliff
3n3110J ClH'u'MOCl8
S3JIACIJS .t t1 ~ 1,.r:rn n~ mld
+]2 :2 Md £- 83.:J tlOl
03Al3J3tl
CID/DHS COLOR CODES
1. YELLOW HIGH:C GHTER:
ASSET TAGGED ITEM
LISTED IN DHS PROGRAM
LISTED ON BOARD PACKET
2.
- --
-
-
BELOW THRESHOLD (UNDER $1000.00)
NOT LISTED ON BOARD PACKET
3.
OR PINK
ASSET TAGGED ITEM
NOT LISTED IN CID OR DHS PROGRAM
LISTED ONLY IN CID PROGRAM
LISTED IN DHS PROGRAM STATUS
COLUMN AS "DISPOSED"
NOT LISTED ON BOARD PACKET
REQUEST FOR DISPOSAL ACTION FEB 2014 ANALYSIS
CERTIFICATE ASSET#
3652
3653
51154
41167
3653
3653
3653
3653
3654
3655
3656
48391
48404
48413
45942
29629
47700
55124
3656
3656
54975
42013
3656
3656
3656
3656
3656
3656
3657
3657
3657
3657
55050
48197
51675
25427
42137
3657
3657
44276
55378
DATE
DESCRIPTION
3/13/2008
1/13/2008
1/2/2006
1/2/2006
1/2/2006
5/24/2005
10/7/1997
7/20/2005
6/17/2004
5/29/2009
5/20/2003
6/11/2009
12/6/2005
SMARTBOARD PROJECTOR
LIFE FITNESS CURL MACHINE
GATEWAY LAPTOP
GATEWAY LAPTOP
GATEWAY LAPTOP
DELL LAPTOP
CADEX BATIERY ANALYZER
LAERDAL MEGACODE MAN IKIN
DELL COMPUTER
7/22/2003
8/2/1993
5/23/2003
7/16/2004
9/18/2009
3/31/2011
12/19/2007
56609
50883
56319 10/28/2010
56608
3/31/2011
UA3502
N/A
IMAC COMPUTER
GATEWAY COMPUTER
HP COMPUTER
GATEWAY COMPUTER
PEBBLE ID PRINTER
POLAROID ID CAMERA
HP LASERJET PRINTER
NIMLOK EXHIBIT MOBILE DISPLAY
EPSON PROJECTOR
HP LAPTOP
HP LAPTOP
HP LAPTOP
HP LAPTOP
DRIVING SIMULATOR
DISPOSITION
UNSERVICEABLE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
SURPLUS
UNSERVICEABLE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
OBSOLETE
UNSERVICEABLE
DEPARTMENT
C/C- LRC
C/CWELNESS
C/C - BIOLOGY
C/C - BIOLOGY
C/C - BIOLOGY
TELECOM & NETWORK
C/C - EMS
N/C- EMS
S/C-TECH
S/C-TECH
S/C-TECH
S/C - TECH
S/C - TECH
S/C - TECH
S/C -TECH
S/C - TECH
N/C-TECH
N/C-TECH
N/C - TECH
N/C - TECH
N/C - TECH
N/C-TECH
C/C- CJI
FEB 2014 DISPOSAL
~ ~ BROvVA.RD
~COLLEGE
'N ' N N .
Controlled Property Disposal Form
Assets OVER $1 ,000
br-:iw 1 r d .ed '.l
11 3
Cc:-2010
REQUEST FOR TRANSFER. DISPOSAL, ANO REMOVAL FROM PROPERTY RECORD
Dispos ition
41231
Each Staff must check only one annrooriate box below
Cost Center Administrator·
'
Campus L'Jst I Stclen !Trace-!nl Unser11ce3tle l Donation I Obsolete I Surolus
1_
2
l'' lv1 -::. .,,.( ·..) C. !"'_<..... staff
I
I
I
x
I
I
I
Camous:
IBuildina:
IRoom:
Other (Explainl
I
17
I
1<16
NOTE: Lost/Stolen items reauire a Police Reoort with this form
Cost Center· 1
ASAP
Do ltem(s) req uire pick-up by Material Services?
~~s.
X
_r_ro•;tIf~~
If Yes. Picked on or before what~~te?
_ _ __ _ _ _ _ _ _ _
Initiating Property Custodian Signature
~/ flt
._..-t
Property ControVMatenal Seri1ices Signature.
1
Date
~ Date
Prooety Control .\udit Number·
/
r/ ~
I
_ '---.:>
8-(1;, / 13
--~~,r----
Phone
Phone
~ U~
D
~-------4
---------t
Form 10·
1) Enrer the appropriate information below
2) Save this document as "yourcampus property disposal-date.xlsx" (ex South Property Transfer 10-31-09.xlsx)
3) Email to ravi/es@.broward.edu and c c: dmcdade®broward.edu
Items
Ex.
Description
Gateway E-4000 Computer (SAMPLE ONLY)
1
2
SMARTBOARD
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Asset
00123456
p
;1
.>
0051154
Serial Number
123456789
2000i-DVX-R2-20161
•BROWARD.
t0. . coLLEGE
Assets OVER $1 ,000
www.broward.edu
11 5
Oct-2010
REQUEST FOR TRANSFER, DISPOSAL, AND REMOVAL FROM PROPERTY RECORD
Disposition
Each Staff must check only one aooropriate box below
Campus Lo5t I St:ilen T•=de- ln l Unser1iceable Doration I Obsolete I Surolus
Cost Cemer .Administrat:wLUIS MELENDEZ
Staff
I
I
I
X
I
Campus:
!Building:
Other (Explain)
!Room:
I
11
CENTRAL
I
121
NOTE: Lost/Stolen items reauire a Police Report with this form
Cost Center· 1
11 521
Do ltem(s) require pick-u~ by Material Services?
AS SOON POSIBLE
Yes·
X
If Yes. Picked on or before what date?
No·
Pallet ID·
------------
-Ot(?__Da_~=-~2_1o_s1_13
ln11lallng Property Custodian Signature
Property ControVMatenal Services Signature.
~
Propety Control Audit Number·
_ __
Date _ __ __ _ __
Phone - - - - - - - - - - 1
Phone.
- - - - ----1
Form ID
1) Enter the appropriate information below
2) Save this docum ent as "yourcampus property disposal-dare.xlsx " (ex South Propert'/ Transfer 10-31-09.xlsx)
3) Email to raviles@broward.edu and cc: dmcdade@broward.edu
Items
Ex.
1
Description
Gateway E4000 Computer (SAMPLE ONLY)
LIFE F ITNESS
I LEG CURL MACHINE
Asset
00123456
0041167
Serial Number
123456789
SL35-S-99720
1----+------ -- - ----------------+--------+------------t
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
/
f 13/ll3
• BH.O\NA.RD.
teA.C~OLLEGE
Assets UNDER $1 ,000
Nww. browa n Le d u
v· 6
.
Oct-201 0
REQUEST FOR TRANSFER DISPOSAL AND REMOVAL FROM PROPER..Y RECORD
_ _ _ _ __
7
DisJ
Each Staff must check on
Campus
Lost I Stolen ITracie-In I Unservice;
Obsclel•!
Sur lus
' Administrator:S teve Obem1uf
~+---'--'--'--+-;:c_;;_~x__....
Staff
I
I
I
Cam us:
1Bu1ldin9:
Other CExolain l
!Room:
Centr 31
7
157
NOTE: LosUStolen items require a I 'olice Reoort with this form
Do ltem(s) require pick-up by Material Se1v1ces?
Cost Cente
,o-s it~
io
_
n
r 111 5·1·1
____,
x
Yes:
12/12/13
_ _ _ If Yes, Picked on or before what date? - - - - - - - - - - - -
No·
__
ln111at1ng Property Custodian Signature:
.-#~
' ~:--...
. . ._
-~
-- •
Propeny C·mtrol/Material Services Signat•Jre:
.
.
~
-· - Date:
--""-=~~or.,=~--+
23(053
~
'---
Pallet f[1:
\1 /2_7 /',~2-
,, r- .::.-· ·-r
7 .../
Phone: -~w_--'--.->
?/S/G
Date: -~~~--I
Phone: - - - - - - - - <
Form ID: _ _____ _ _ __
---·
-··- - - -- ----====================----:_--======= --------1) E11 ter <11e C1ppropriat1t i n form ation below
1
2) Save thi! d ocument as "yourcampus pmperty dlsposal-date.xlsx" (ex South Property Tran sf er 10-31-09.i l sx)
1
13) Em,1 i/ to ·avil es(Ji)browanl.ed11 and cc: dm.;.;..;;..cd
"'a°"d'""
e,,...;@b-'ro-'-'w-'a-r:-'-d.-'-ed _u_
if tems
Ex.
Desc ription
Gateway E-4000 Computer (SJ\MPLE ONLY)
1
2
3 _,___
___
4
_ _ _ _ _--.-_ _ _ _ _ _ _ - - - , r - - - - -- - -
Asset
00123456
Gateway laptop TA6
0048391
Gateway laptop TA6
0048404
Gateway laptop T A6
0048413
,4.L.L
1,\
JD /-r_l,
Serial Number
123456789
, I /;;/oG
I
I
5
6
7
--+------ - 8
r - ------------ -- -- - -- -- - - -- - -- - -+-- - - -- - --+--- - - - - ----~ -------·-------------------~!--------
1
9
L-~'- ------------·----------------+---------1-------- ----...j
-10
! '1'I
·12 ' -·--------'------------------+----- - - - +---------- -l----'-lf·13
14
i
------- ---'-'---- -----------------0----------+------- ----~
~ ·~- -- - ------· --------------------+------- ---;-------
17
18
·19
-~~-------- ------·---------------~-----~-+---------------1
20
- -- - - -- - - -- - - - -- --- -- - - - - - - - - - - - ' - - - -- --------L- - - -- - -- - - - ----'
---~~------------------------->---------+-------
rf My ~ uc,1111ents 1Purchas11191~.la1e11aJ Ser;rces\Property Disposal Temi;late_UNDER_ 1K_2009.xlsx
1
/d/C~
I
/:~/OG
ABROWARDW
{0.;.COLLEGE
~,:~~-i~~~-'.'PV~R'$f_9.9, .P.. ,~
www.broward . edu
v1.6
Oct-2010
Disposition
163185
Each Staff must check only one aooropr/ate boK below
Campus Lost I Stolen ITrade-Inl Unserviceable I Donation I Obsolete I Surplus
Cost Center Administrator: Ken Libutti
Staff
I
I
I
I
I ~
I
rC~a~m~1p~,u~s:_ ___,l~B~u~ild~in~
1q~:_ _ _+IR~o~o~m
~:_ _ ___,,___ _+O~t~h~er~(~Ex~ro~la~l~nlc......::D~is~p~os~a~I-------------~-~
I
I
NOTE: Lost/Stolen Items require a Police Report with this form
Cost Center:
Do ltem(s) require pick-up by Material Services?
Yes:
If Yes, Picked on or before what dale? - - - - - - - - - - No:
X
Initiating Property Custodian Signature:
fJO~Date: - - - - - - - 12/3/2013
Property ControUMaterial Services Signature: ..i.'> fe£ A- .t-fMJf.\1.\- c.:,
Propety Control Audit Number:
Pallet ID:
2(953
I
/u~ate: - - - - - - - ~
Phone:
201-7524
- - - - ----!
Phone: _ _ _ _ _ _ _-1
Form ID:
1) Enter the appropriate Information below
2) Save this document as ''yourcampus property dlsposal-date.xlsx" (ex South Property Transfer 10-31-09.xlsx)
3} Email to ravlles@broward.edu and cc: dmcdade@.broward.edu
Items
Description
Asset
Serial Number
Ei(.~..,.,~~ pateway~E4000:Comp"ute"r:(SAMPLE ONLY-kc-;.~~.::y-.~_':1;~{fo!#-t:~:.1';;. 0(}123~56=:-:2~,~~"-~ 12·3456789:;;i·::..~,.'· ,i. '~f.o?.'~
4.''i~
1
2
3
4
DELL Latitude X1
45942
j
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
H:\My Oocuments\Pun:hasing\Malelial Servk:as\PropertyOlsposalT emplate-OVER_ 1KOS-23-201 O.xlsx
CNDG6951
5(8'1 /oS
Kevin Delsoin
From:
Howard Dansky
Friday, December 06, 2013 12:01 PM
Kevin Delsoin
Amanda Williams
RE: Inventory update
SCAN15923.pdf
Sent:
To:
Cc:
Subject:
Attachments:
l<evin ,
Th e lapto p was disposed of so per Amanda I fi lled out a dispo sal from and send it to h er.
The correspondence is in th e emai l thread .
Thanks.
Howa rd D<rnsky
Director Teleco m and Network Services
'E : 954 -201- 7524
I
Browa rd College
I
: hdan sky@browa rd .edu
From: Kevin Delsoin
Sent: Friday, December 06, 2013 11:57 AM
To: Howard Dansky; Amanda Williams
Subject: RE: Inventory update
Good Morning Howard,
I need a location in order to get the Material Movement team to pick it up from you. Thanks and have a great
wee kend!!
Coo rdinator, Fixed Asset Property & Records Storage
Material Services
Broward College
350 l SW Davie Rd .. Bldg. 23
Davie. FL .33314
Kdelsoin@broward.edu
PH: 954 -2Jl -6834 , FAX: 954 -201-6844
Property Disposal Under $1000
https: //workplace.broward. edu / departments/adm in/procuremen t/ Department%20Forms/ Property%20Disposal%20Ass
et%20Under%20$ 1000. pdf
Property Disposa l Over $1000
https://workplace.broward.edu/departments/admin/procurement/Department%20Forms/Property%20Disposal%20Ass
et%200ver%20$1000.pdf
Property Tra nsfer Form
https://workplace.browa rd .edu/ departments/ admin/procurement/Departme nt%20Forms/ Property%20Co ntrolled%20T
ransfer%20Form .pdf
From: Howard Dansky
Sent: Tuesday, December 03, 2013 11:16 AM
To: Amanda Williams
Cc: Kevin Delsoin
Amanda,
Attached is the disposal form for
DELL Latitude Xl
0045942
CNDG6951
Let me know if thi s is ok or if th ere is anyth ing else I need to do let me know.
Thanks.
Howa rd
From: Amanda Williams
Sent: Tuesday, November 19, 2013 11 :23 AM
To: Howard Dansky
Cc: Kevin Delsoin
Hi Howard,
Yes, please request the asset tag from Kevin Delsoin in Material Services (I'm assuming the asset numbers will stay the
same). Also, please send me the serial numbers from the new equipment so that I can update the asset informatio n.
For the lost laptop, please send me a completed disposal form (see link for form to use) once it's ready.
Disposal form link:
h ttps: //wo rkplace.broward.ed u / departments /ad min /ft nance/ Fina nce%20 For ms /P roperty%2 0 Disposal% 2 0 Form% 20%20Assets%200VER%2 0$1.000%20 l 0-201 O.pdf.
Thanks,
Amanda
From: Howard Dansky
Sent: Tuesday, November 19, 2013 11:08 AM
To: Amanda Williams
Amanda,
2
We have credit with our N etwork vendor from our trade ins and we are getting extra equi pment that wil l be
over $1000. So there wi ll not be a P.O. associated with the equipment. Do you want us to proceed as usual
and request the asset tag ju st not have the p.o. info associated w ith it?
Anot her que stion the Dell laptop from th e ema il below I believe was thro w n out when we cleaned up
downtow n . What do we need to do paperwork wise?
DELL Latitude X1
Thanks.
0045942
Howard
From: Howard Dansky
Sent: Monday, October 21, 2013 2:01 PM
To: Amanda Williams
Subject: RE: I nventory update
Amanda - I think that we th rew this out when we were cleaning up Dow ntown getting ready for the move.
W hat do I need to do as far as inventory wise?
Thanks.
Howard
From: Howard Dansky
Sent: Wednesday, September 18, 2013 10:46 AM
To: Amanda Williams
Thanks.
From: Amanda Williams
Sent: Tuesday, September 17, 2013 11:11 PM
To: Howard Dansky
Hi Howard,
This is still an active asset in BC inventory, last scanned in 31/ 331 on 2/ 25/ 13.
From : Howard Dansky
Sent: Tuesday, September 17, 2013 10:27 AM
To: Amanda Williams
Subject: Inventory update
Amanda,
When you have time can you check and see if th e follow ing is in BC inven tory or was it disposed
DELL Latitude
Xl
0045942
CNDG6951
Than ks
Ho1ivard Dansky
3
Director Telecom and Network Services
~: 954-201-7524 I Broward College I
: hdansky@browa rd .edu
eed Technolo!!v Help?
Need in formation about Broward Coll e!!e IT?
How to Buv Tech nolo!!v?
4 ~ I~ROvVARD
~COLLEGE
6400 NW 6th Way - Ft. Lauderdale, FL 33309
Broward Co ll ege N.1me d One of th e
Top ll) Commurtit}' Co ll eges in the ~.1 ti o n .
·1HE ASPEt STITUTE
Please Note: Due to Florida's very broad public records law, most written communications to or from College
employees regarding Co llege business are public records, available to the public and media upon request.
Therefore, this email communication may be subject to public disclosure.
~ Please consider the e nvironm ent b efore printing this ema il.
4
•BROWARDM
coLLEGE
te...
Assets OVER $1,000
www. broward . edu
v1 .6
Oct-2010
REQUEST FOR TRA NSFER, DISPOSAL, AND REMOVAL FROM PROPERTY RECORD
Disposition
112484
Each Staff must check onlv one annrooriate box below
Campus Lost I Stolen Trade-Inl Unserviceable I Donation I Obsolete I Surplus
Cost Center Administrator: Philip Bachers
Staff
I
I
I
I
I
Other (Exolainl For Public Surplus Auction
Campus:
IBuildinq:
I Room:
Central
I
08
I
228
NOTE: Lost/Stolen items reauire a Police Reoort with this form
Cost Center:
x
Yes :
X
If Yes . Picked on or before what date?
No:
~/~
Property Control/Material Services Signature:
Pallet ID:
---- - -- - ----
~
)
Date: November 26, 201 3
Date:
I d-- J Cf- / f 3
954-201 -6920
Phone: - - - - -Phone: -
-
-
-
--!
- - --
--!
Form ID:
1) Enter the appr opriate information below
2) S,we this document as "your campus property disp osal-date.xlsx· (ex South Property Transfer 10-31-09.xlsx)
3) Email to ravi/es@broward. edu and cc: dm cdade@browar d.edu
lterr.s
Ex.
Description
Asset
00123456
1
Cadex Battery Analyzer,
2
plus 12 assorted battery adapters.
3
4
(a total of 2 small boxes to pick up)
"2~+,,
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
H: .My Documents Purchasing' Matenal Sef'l1ces PropertyD1sposalTemplate-OVER_ 1K05-23-2010 xlsx
Serial Number
123456789
0029629
VGAC02 173
N/A
N/A
ABROWARD-
(.0,.coLLEGE
Assets OVER $1,000
www . brow ard.edu
Cost Center:
112482
Oct-2010
REQUEST FOR TRANSFER, DISPOSAL, AND REMOVAL FROM PROPERTY RECO RD
Dispos itio n
Campus
Staff
Cost Center Administrator: P h ilip Bachers
Campus:
North
vl 6
IBuildinq:
41
I
I Room:
154
I
Lost I Stolen ITrade·In l Unserviceable I Donation I Obsolete I Surplus
I
I
I
I
I
I
Other (Explain) used for parts
x
NOTE: Lost/Sto len it em s re a uire a Police Reoort w ith this form
Do ltem(s) require pick-up by Material Se rvices?
Yes:
x
No:
Initiating Property Custodian Signatu re:
'l1f (},~
Pallet ID:
~
- oate:
N ove m ber 21, 201 3
__.Ba2
954-201-6920
Phone:
o::::::::=_
3GS5
Phone:
Form ID:
1) En ter the appropriate information below
2) Save this document as "yourcampus prop erty disposal-date.xlsx" (ex South Property Transfer 10-31-09.xlsx)
Items
Ex.
1
2
Description
L ae rdal M ega Code K elly
A s set
00123456
[)r-[
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
H ' My Documents'PurchasinglMatenal Serv1ces' PropertyD1sposalTemplate-O\fER_ 1KOS-23-2010 xlsx
0047700
Serial Number
123456789
N /A
+t:;cfo.
Con trolled Property Disposal Fo rm
Assets OVER $1 ,000
REQU ES T FOR TRANS FER. DISPOSAL. AND REMOVAL FR OM PROPERTY RECORD
14 1223
Dis position
Cost Center·
Cost Center .lcn1r1str3tcr
Q3ve P~ters
Campus
Staff
I Los<
I
Ca,.,,01..s
j Rocm
i Bu1lo1ro
South
I 101
I 87
Do ltem1s , require pick-up O'J l'vlatenal Ser11ces?
x
Yes
No·
I
I
If Yes P1ckec on or t:efore ·Nhat date?
lnitiat;ng Prcperty Custodian Signature
Propen'/ Ccntrol1Matenal Ser11ces S1gnal:Jre
Each Staff must check o n lv one aooropriate box below
I Ste Ien I Trade- £n l Unseniceal::ie I Dcna11on
I
I
I
Obsolete
x
I
I
Surolus
Other 1E.<01a1n i
NOTE LosOStclen items 'ecu1re a Police Reccn Nltn this fcrm
ASAP
a:-Gd
14
Pailet ID
1z..\,0)1~
Date
Phone
'c \ l1'
(~I
Date
365&
Prooetv Cortrol Audit Numter·
I
I
I
Phcne
Form ID
1) Enter Che appropriare informarion below
2) Save this document as "yourcampus property disposal-dace.xlsx" (ex South Property Transfer 10-31-09.xlsx)
3) Email to ravilesr@broward.edu and cc: dmcdade(@broward.edu
Items
Ex.
Description
Gateway E-4000 Computer
Asset
00123456
1
DELL OptiPlex
2
M-AC
GATEWAY E-SERIES
3
4
HP COMP 7900
5
6
7
8
Serial Number
123456789
55124
G28LTH1
<v/1=rfo'
I\
54975
QP9210T30TH
s/;J't/c
11 '
42013
30175384
\
55050
f C> rl
~
_?
:)o /
GATEWAY ESX-E400-
(>
{'J-c/C
MXL92217XT
1¥
/11 /<5
48197
36 124217
i
41044
28681929
3/6/oS
9
10
11
12
13
14
15
16
17
18
19
20
21
22
I
I
I
I
I
I
I
I
Assets OVER $1 ,000
1
Cost Center·
1~
Nov -0 9
141223
Disposition
Each Staff must check onlv one aooropri ate box below
Cost Center Administrator·
Dave Peters
Campus
!Room.
IBu1ldina.
South
I 87
I 101
Yes ·
Lost
Campus
Staff
I Stolen
I
Trade-In! Unser1iceable l Donation I Obsolete I Surplus
I
I
I
X
I
Other (Exolain1
NOTE LosUStolen items require a Police Reoon with this form
__X__ lf Yes, Picked on or before what date? ____A_S'"""A_P_ _ _ _ _ __
No.
\ ( \ _..
Prooetv Control Audit Number·
Date:
Sc:/~; , .,,/#'~ate
-
Property Controt/Mater:al Services Signature·
?;G,
"'-N'\~
h,,
Pallet ID·
17
_(~~---+\_1_0_\~13___
Phone - - - -- - - - - - i
--'-\_2.___J...)
Phone - - - - - - - - - - 1
_1_~-1)_1'-=~--
~
Form ID
1,1 Enter the appropria te information b<?/ow
2) Save this document as "yourcampus property disposal-date.xlsx " (ex Sourh Property Transfer 10-31-09.xlsx)
3) Email to raviles@:!broward.edu and cc: dmcdade@broward.edu
Items
Ex.
Des cription
Asset
Serial Number
00123456
123456789
9427
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Assets OVER S1 ,000
REQUEST FOR TRANSFER. DISPOSAL. AND REMOVAL FROM PROPERTY RECORD
1-l'.223
Disposition
Each Staff must check only one aoorooriate box below
Ccst Center ;..:mm1s1ra1cr· D:::i•1e :::eters
Campus I Los: I Stolen I Trade-In! Unser11ceable I Donauon I Otsclete I Surolus
I Staff
I
I
I
I
I
I
Camous
IBuliainc.
I Roam
Other I Exolain ,
I
NOTE Losv Stolen items recu1re 3 Police Recor: Nltr :his form
South
I
I 101
I 87
Do ltem{SJ rec,uire ;:i1ck-up oy Material Ser11ces?
Cos: Center
I
x
Yes
No
x
If Yes Picked '.'ln or before Nhat date?
lnit1at1ng Property Custodian Signa ture
Prcperty Contrcl/MatePal Ser11ces Signature
1C
Pallet 10·
ASAP
~~Dote l<-\1 0\\ 3
c =yt11Ad.~oate
I 1 '\
Phone
P'-ore
j'L \ t 0
Procet'/ Control Audit Number·
Form ID
1) !:nter the approp r'atc information below
2) Save this document as "yourcampus proper!'/ disposal-date.xlsx"' (ex South Property Transfer 10-31-09.xlsx)
3) Email to ravilesl@broward.edu and cc: dmcdade(@broward. edu
Items
Ex.
1
2
3
D.escription
,Gateway E-4000 Computer
-
I
Asset
00123450
AI FB3
9o c,, 13:3
ONE PODIUM
Serial Number
123456789
N/A
4
5
6
7
8
9
10
11
12
13
14
15
16
I'
17
18
I
I
I
19
I
I
'
I
20
21
I
I
I
22
I
I
I
.I
I
I
Assets OVER S1 ,000
•1
l 6
Nov -C9
REQUEST FOR TRANSFE R. DISPOSAL. AND REMOVAL FROM PROPERTY RECORD
141223
Dis pos it ion
Each St aff mus t c h eck onl v o n e aooropriate box b elow
Cost Center ,<i.dministrator: Dave P<:!ters
Camp us Lost I Stolen !Trade- In! Unserviceable! Donation I Obsolete I Surplus
Staff
I
I
I
I
I
I
Camous·
IBu11dinq
I Room
Other (E.<plain1
South
l 87
NOTE: LosUStolen items require a Police Reoort .v1th this form
I 101
Cost Center
x
x
Yes.
No.
Property Control/Material Services Signature.
~
ASAP
Pallet ID·
~Dote \:l_\1 u)
_
-
I ~
13
Phone
Phone
,, ,, loate.
3GSG
Form ID:
1) Enter the 1ppropriate information below
2) Save this do cument as "yourcampus property disposal-date.xlsx" (ex South Prop erty Transf er 10-31-09.xlsx)
3) Email to ra viles(@broward.edu and cc: dmcdade(@broward.edu
Items
Des cr ip tio n
Ser ial Nu m ber
Asset
Ex.
Gateway E-4000 C om puter
123456789
00123456
1
2
3
4
5
6
7
HP LASERJ ET PRINTER 4200N
1L O ri .>
4213 7
CN BX4 20104
..
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
C Users •.:le.sc.r AopData Lccal'M1cr-::s01; l/l•roc•.-,s r:mccra-; !r.terre1
=les Com:ri Outloo• cg33-2.i2•D1SPOSAL - Pr:nters
Over tJCO <Is~
.-
Assets Unde r $1 ,000
REQUEST FOR TRANSFER. DISPOSAL. AND REMOVAL FROM PROPERTY RECORD
Dis position
Ccst Center
14'.223
Ccs: Center .!c~in1s:ratcr·
Dave Pster3
CamD1.. S
l81..1lcino
!Reem.
South
I 87
I 101
Do ltemts 1 reqwe pick-u p oy Material Sel"11ces?
x
Yes
No
'I
If Yes Picked Jn or before Nrat date?
lnitia:ing Prcper.·1 Custodian
I
I
Ocsolete
Omer 1E,(p1a1n1
NOTE Lost/Steier. items rec:i..1re a Pchce Reccr:
Nlth
tn1s fcrm
ASAP
19
Campus Les;
I Staff I
s.~nature
...
I Srclen ITrade-rnl Unser11ceable I
I
I
I
I
Pallet ID
~ Date 1'l. \\\)\
r.,A' '6:atdJ2 L.oate \2\\0)
Proi:;er.y Contro11Matenal Ser11ces Signature
Procetv Control Audit Number·
Dcnaucn
13
P!ione
\.s
Phare
x
I
I
Surolus
Form ID·
t) Enrer the ;ippropriare information below
2) Save this document as "yourcampus property disposal-dare.xlsx" (ex Sourh Property Transfer 10-31-09 xlsx)
3) Email to ravi/esla>broward.edu and cc: dmcdade(@broward.edu
Items
Ex.
Description
Gateway E-4000 Co mputer
1
2
3
-.
Serial Number
123456789
'1 L/:;;_ ?- w
Dt-i- S )
1 NIM LOK EXH IBIT Box 44276
1 EXH IBIT #1 BOX
18715
N/ A
/
N/ A
./
/
ONE rv' STAND NG 23
4
5
6
7
8
9
10
11
12
13
14
15
16
17 I
18
19 I
I 20
21 I
Asset
00123456
·-
-
-
I
I
I
I
I
I
I
l
I'
I
I
- - - ---- -
-
•BROWARD.
coLLEGE
te...
Assets OVER $1,000
www . bro ward. edu
v1 .6
Oct-2010
Disposition
144102
Each Staff must check o n/ one a propriate box below
Campus
Lost Stolen Trade-In Unserviceable Donation Obsolete
Sur lus
Cost Center Administrator:Clyde B. Arnold Ill
Cost Center:
X
S~ff
Cam us:
North
Bu1ldin
Room:
49
108
NOTE: Lost/Stolen items re uire a Police Re ort with this form
Yes:
If Yes. Picked on or before what date? - - -- - - -- -- - No:
X
Initiating -P-ro-p-ert_y_C"'tod;oo S;go.t"<e
Pallet ID:
[!
~~D•te _ 1_2.._ - _f _J_·-_1_·_]__
~ Date: __i_a-_(_13--'-/_/_~__
Phone:
- - - -- - --t
Form ID:
2) Save this document as "yourcampus property disposal-date.xlsx " (ex South Property Transfer 10-31-09.xlsx)
3 Email to raviles broward.edu and cc: dmcdade broward.edu
Items
Ex.
Descriptio n
Gateway E-4000 Computer (SAMPLE ON LY)
Asset
Serial Number
123456
123456789
0
Ep son 1825
55378
KG4F970227L
7/ 1g/cR
4
HP2740
0056609
2CE1080LWR
"3>/ ~ 1/I I
0o
HP 2710
0050883
2CE74814K6
( ;;/ ti-/0~
HP2740
0056319
2CE0400MG9
,o/;;8!1<
0056608
2CE1080LWS
3/ 31(11
1
2
3
., 4
.,, 5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
HP2740
~
---
H.'My Docume nts 1Purchas1ngl Malenal Serv1ces1 Property01sposalTemplale-O'IER_ 1KOS-23-2010 xlsx
o 3Q 'fo 5 7& 33 7
"--BROWARD.
coLLEGE
te...
Assets UNDER $1,000
www.broward.edu
Cos! Center:
251703
v.1.6
Oct-20 10
Disposition
Each Staff must check on/ one a
Cost Center Administrator:Carlos Parra
Campus
Lost
ro rlat& box below
Stolen Trade-In Unserviceable
Obsolete
Su lus
x
s~
Room:
Cam us:
Buildln :
68
270
South
Do ltem(s} require pick-up by Material Services?
x
12/10/13
_ _ _ If Yes, Picked on or before what date? _
_ _ _ __ _ __ _ __
Yes:
No:
lnillaling Property Custodian Signature:
Date:
/)..,
Pallet ID:
S 1 /:>
Date: _ __ _ __ __
Phone:
~17 7
Phone: _ _ __ _ _ _-1
Form ID:
1) Enter the appropriate lnfonnatton below
2) Save this documen t as •yourcampus property dlsposal-date.xlsxn (ex South Property Transfer 10-31-09.xlsx)
3 Em<!il to ravl/es broward.edu and c;c;: dmcdade®broward.edu
Ex.
Gatewa E-4000 Com uter SAMPLE ONLY
1
2
3
4
5
6
7
8
9
10
Asset
Serial Number
00123456
123456789
Four drawer cabinet
11
12
13
14
15
16
17
18
19
20
H:\My Oocumenls\Purchasing\Ma1erial Services\Property Oispooal Templale_UNDER_1 K_2009.xlsl<
ABROWARDW Controlled Property Disposal Form
te...coLLEGE
Assets UNDER $1,000
www.broward.edu
v.1.6
Oct-2010
Disposition
Each Staff must check only one aooroprlate box below
Cost Center Administrator:N/A
Campus
Lost I Stolen IT.rade· fnl Unserviceable Donation I Ob solete I Surolus
x
I
Staff
I
I
I
I
Camous:
IBuildina:
IRoom:
Other IExolainl
Central
21
134
I
I
NOTE: LosVStolen items require a Police Report with this form
Cost Center:N /A
If Yes, Picked on or before wh<!t date? John Crabtre?Jwill pick up on
Yes:
No:
.,
x
Pallet ID:
-
.,,, ·
11 .-v
dlt/
~-
I " - 11._ ,ff.
''~ D t . 1 1-21 ~13
/7
a e.
fi-cf:·t th /JI
I NI oet9&r??J.• ~
\/'O.
11-21-13
~----
6805
I 0 .'.Jt7,f;{q_
Phone:
Date:
Phone:
1/~.2/ -13
Form ID:
2) Savo this document as "yourcampus property d/sposal-date.xlsx" (ex South Property Transfer 10-31-09.xlsx)
31 Email to ravl/eslfiJbroward.edu and cc: dmcdade<@broward.edu
Items
Descrlotlon
Ex.
. Gateway E-4000 Computer(SAMPLE ONLY}
1
2
3
Serial Number
Asset
~6789 ·;- · -·-
Canon Image Runner 2200 Model F140100 Copy Machine
.
..
MPG51014
ID: 11267030
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
H.IMy Documentsl Purchasing\Materlal Services\Property Disposal Template_UNDER_I K_ 2009 xlsx
1I
I
I
•BROWARD~
te...coLLEGE
Ass ets UNDER $1,000
www . brow a rd .edu
Cost Center:
I
Eac h Staff must check onlv one aooropriate box below
Mark Griff in
Campus
Staff
IRoom:
IBuildinq:
l...en"C".raJ.
Oct-2010
Disposition
710025
Cost Center Administrator:
Campu~ :
v.1.6
~.:S
I
Lost
I Stolen
I
Trade-In l Unserviceable I Donation
I
I
I
I
Obsolete
A
I
Surplus
I
Other (Explain)
NOTE: LosVStolen items require a Police Reoort with this form
L.L I
x
Yes:
No:
If Yes, Picked on or before what date?
Initiating Property Custodian
Signatur~~
12/10/2013
Jean Griff in
Date:
Pallet ID:
12/03/2013
Phone:
6813
Phone:
Date:
Form ID:
Items
Ex.
1
2
3
4
5
6
7
8
Descr iption
Brother Intellifax 4100e
A sset
00123456
N/A
9
10
11
12
13
14
15
16
17
18
19
20
H:\My Oocuments\Purchasing\Material Services1Property Disposal Template_UNDER_ 1K_2009 xlsx
Serial Number
123456789
U61639H7J609587
Controll ed Property Disposa l Form
Assets UNDER S1,000
REQUES T FOR TRANSFER. DISPOSAL. AND REMOVAL FROM PROPERTY RECORD
141223
Disposition
Each Staff must check only one aaarooriate box below
Cost Cer.ter Adri1r.1st;etcr·
Da•1e Peters
Campus l'.)st I Stolen ITrace-In I Unser1iceable I Donatien I Obsolete I Surcilus
I Staff
I
I
I
I
I
I
Camous
I Bulicin4
IRcori
South
I 87
I 101
NOTc Lost/Stolen items recu1re a P'.)hCe Recort Nlth 1h1s form
Do ltemi s 1 rec;u1re pick -up by Material Ser11ces?
Cos; Center·
x
X
Yes .
If Yes P:cked on or beiore Nnat jate?
No
Initiating Prooerty Custodian Signature
Property Control1tvl atena l Ser11ces Signature
Pallet ID
ASAP
------------
~ 2L
•
t;;;<~~
Prooel'I Cortrol Audit Numoer_
Date
Date
p:.)I
C) ) \
15
J
l '2. { I 0 \ l
Phone - -- -- - ----!
~
Phor.e - -- - - - - - - - !
Form ID
1) En ter the 1ppropriat!! information below
2) Save this document as "yourcampus property disposa/-date.xlsx" (ex South Prop erty Transfer 10-31-09.x lsx)
3) Email to raviles(O)broward.edu and cc: dmcdade(O)broward.edu
Items
Ex.
Description
Gateway E-4000 Com pute r
1
2
3
4
5
6
I
Asset
Ser ial Numbe r
00123456
123456789
OV ERHEAD PROJECTOR 3M 9100
N/ A
1114046
OV ERHEA D PROJECTOR 3M 1740
N/A
1700 57018
OVERHEAD PROJECTOR 3M 1740
N/ A
170094 173
OVE RHEAD PROJECTOR 3 M 9700
N/ A
500569
OVERHEAD PROJECTOR 3 M 9800
N/ A
6~fGt54~
OVERHEAD PROJECTOR 3M 9100
N/ A
63 1257
7
8
9
10
11
12
13
I
14
1
sI
16
17 I
1s I
19
20
I
I
21
22
I
I
I
I
I
I
I
I
I
I
Assets UNDER S1 ,000
REQUEST FOR TRANSFER. DISPOSAL, ANO REMOVAL FROM PROPERTY RECORD
Disposi tion
1-11223
Cos; Cent.::r
Ccst Center ,l.cmin1s•r3tor·
I
1
I
Camo1.s
l 8u1ld1rq
I Room
South
I 87
I 10\
Do ltem(s l reqLl1re pick-up by Materi al Ser11ces?
x
Yes
No
~~
"-,
r:;;:j?4
.
-
I
I
I
Ooraticn
I
Obsolete
I
I
ASAP
I
Contr;)l/Ma:er;al Ser11ces S1gnaitJre
I Stclen ITr;ide-inl Unser 1iceable l
x
!Orner E.<ola1n1
!NOTE. Lcs~S tol e n items recu1re a Police Keocr. NHh ;his form
I
If Yes P:cked on :::r before what date?
ln1t1aung Prcperty Custcd1an S1gnat1.re
P rc pe 1 ~y
Each Staff must check onlv one aooropriate box below
Campus I L-:;st
I Staff I
Da 1e =>=ters
-
L..~
,~_./__,
1'2. l1 D~\.)
Date
P-1
Da;e
-
Prooet•t Control Audit Number·
15
Pallet ID
\C )
Phone
I~
Phore
Ferm ID
1) Enter the Jppropriate information below
2) Save this document as "yourcampus property disposal-date.x/sx" (ex South Property Transfer 10-31 -09.xlsx)
3) Ema il to raviles(fi>,broward.edu and cc: dmcdade(fi>,broward.edu
Items
Ex .
·'
.:
..,
I
I
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Desc ription
~
N/A
MH31201074
N/ A
13AA13187
rJ
N/ A
E31A78634
TELEPHONE NEC DT· PAD
N/ A
11604939
TELEPHONE NEC OT- PAD
N/ A
18100186Ll
TELEPHONE NEC OT-PAD
N/ A
14401418Kl
N/ A
17300233Ll
N/ A
11107912Hl
TV WITH UNREADABLE S/N
N/ A
N/A
HP DOCKING STATION
N/ A
BFOXOH094602ES
HP DOCKING STATION
N/ A
BFOXOH094602E4
JVC DISC PLAYER
N/ A
15991100
TECHNICS CASSTTE DECK
N/ A
AH4K27A641
TV
.. TV .
I
Serial Number
123456789
Asset
00123456
I
I
I
I
I
I
I
I
Sur::ilus
Assets UNDER S1,000
I
I3
Nc 1-: c;
REQUEST FOR TRANSFER. DISPOSAL. AND REMOVAL FROM PROPERTY RECOR D
Disposition
Eac h Staff must c h eck only o ne appro pri ate b ox below
Cos; Cer.ter ,i. .: n1r 1s; ~:;1c r
Campus I Lest I S;olen I Trade-In! Unser11ce3blel Dorai:cn I Obsolete I Surolus
Da•1e =>ete' s
I
I
I
I Staff I
I
I
I
Camous
IOther tE.<olain 1
IBu1ldinc
!Reem
I
South
INOTE LostJ Stolen items require a Po11ce Recort Nltn this rcrm
I 10 1
I 87
I
Do ltem( s1 rec;uire pick -up 'JY Material Ser11ces?
Cost Center
141223
I
x
x
Yes
No
If Yes Pic ked :in or ce•ore what date?
lnitraar.g Prcper.y Custodian S1gnawre
Proi:;er.y Control/Material Ser11ces S 1 ~rat ure .
Pallet ID·
AS.AP
~Date
7~
~/(: =~~Date
I
Propel'/ Control Audit Number
20
1<-i1 ~ ~lj'
Phone
j 1 \l }l3
Phone
I '2..
For'Tl ID·
--
1) En ter the Jppropriatc in fo r mation below
3) Ema il to raviles@Jbroward.edu and cc: dmcdadel@broward.edu
Items
Ex.
Des cription
1
2
3
'2
I
MONITORS
Asset
Serial Number
00123450
123456789
f)
~
11 SETS OF PC SPECKER5
3 PROJECTORS HOLDERS
.
-
N/ A
N/ A
N /A
N/A
N/ A
N/ A
4
5
1 UPS
11
N/ A
313304996
8 CARTS
j
N/ A
N/A
6
3 TABLES
1i
N/ A
N/ A
7
3 FILES CABINET
N/ A
N/ A
8
AIWA RADIO
N/A
PJOOS11132
9
SANYO RADIO NO S/ N
N/ A
N/ A
49-
~Ol'il R~OIO IQO Sl'E~R'.ERS
. ,,' •
-""----
4412
13
14
HP (J!;ScltlcT Pr.11•
~
~
,c-rrL. .-
1..1'10 I u t
I " " .LJU u
15
16
I
18 I
17
I
19
20
21
' 22
I
I
I
I
-·
- iiiil9~
.
-
-
-
-.'7V'O
-
•BROvVARD.
te...coLLEGE
www . br oward .e du
Cost Center:
144 102
REQUEST FOR TRANS FER, DISPOSAL, AND REMOVA L FROM PROPERTY RECORD
Disposition
E ach Sta ff must check only o n e appropriate b ox b elow
Campus
Sta ff
Cost Center Administrator:Clyde B . Arnold Il l
Campus:
IBuilding:
IRoom:
North
49
108
I
I
Yes:
No:
x
Oct- 201 o
'' · 1 6
Lost
I Stolen
Trade-lnl Unserviceable I Donation
I
I
I
Property Control/Mate.rial $er:ilice_s
x
I
I
Surplus
Pallet ID:
// ~4 ! fate:
~~
Signature:
Obsolete
Other (Explain)
NOTE: LosUStolen items require a Police Report with this form
I
I
~
Date:
{_ Z- - 1 '$ - /--3
Phone:
12>--(1 3ft3
Phone:
9<;;c/- ?o l - ?t:!/ 3
Form ID:
1) Enter th e ap propriate information b elow
2) Save this document as "yourcam pus p roperty disposal-date.xlsx" (ex South Property Transfer 10-31-09.xlsx)
31 Email to ravilesl.@broward.edu and cc: dmcdadel.@br oward.edu
Items
Ex.
1
2
3
4
5
6
7
8
Descripti on
Asset
00123456
Serial Number
123456789
D C7900
/ ,
0609553
2UA852082V
D C7900
J
0609542
2UA8520839
Deskjet 6122
v
,
N /A
D
(3) LC D Monito rs
v'"
N/A
(2) P rojector B u lbs - Burn t
v--
N/A
D
N/A
D
(1) u nder monitor spe aker base
v
/
~
9
10
11
12
13
14
15
16
17
18
19
20
H:'My Oocuments•Purchasing\Matenal Serv1ces'Property Disposal Template_UNOER_ 1K_ 2009 xlsx
MY2AT292JW
N/A
N/A
N /A
-'BROWARD'"
{0.. coLLEGE
www.broward.e du
Ocl-201o
REQUEST FOR.-rRANSFER, DISPOSAL, AND REMOVAL FROM PROPERTY RECORD
Disposition
I
Cost Center:
(
/
v Jlr1fll--/'
1 12~.8
Cost Center Adminislralo~
Each Staff must check only
Campus
Staff
I BuildiMi:V v '"'v '!'Room:
Campus:
I
CENTRAL
21
105
I
I
x
Yes:
No:
v.1.6
.
Property ControUMalerial Services Signature:
one aaaropriate box below
Lost I Stolen ITraGle-I nl Unserviceable I Donation I Obsolete I Surplus
x
1
I
I
I
I
I
Other (Explain)
NOTE: LosVStolen items reauire a Police Report with this form
12/16/13
Pallet ID:
~
-/
·-))-
.
Date:
~
~
Date:
12-10-1 3
Phone:
i?-( t3 /J 3
Phone:
Form ID:
2) Savo this document as "yourcampus property disposa/-date.xlsx" (ox South Property Transfer 10-31-09.xlsx)
3) Email to ravlles@.broward.edu and cc: dmcdadef@broward.edu
Items
Ex.----:
Description
Gateway E-4000 Computer. (SAMPlE.ONLY). ,_,-_- - - ..·.
-
-
Asset
00123456 - .·, .. _-::.~-.
;
Serial Number
123456789- -
-
-·
1
2
IBM LEXMARK 6781-025 TYPEWRITER
N/A
11RKC24
BROTHER BEM-630 TYPEWRITER
NIA
M58293355
3
HP PHOTOSMART 7550 PRINTER
NIA
CN29A421RG
4
HP LASERJET 1020 PRINTER
N/A
CNBK799875
5
6
7
8
HP SCANJET 5590 SCANNER WITH DRIVER CD
N/A
US6AHSROHG
HP SCANJET 4570c SCANNER
N/A
CN27VS506Q
HP SCANJET 3970 SCANNER
N/A
CN449B20KG
HON FIVE DRAWERS BEIGE COLOR CABINET
028765 (RED)
N/A (IN 21/133)
9
10
HON FIVE DRAWERS BEIGE COLOR CABINET
028764 (RED)
N/A (IN 21/133)
BRETFORD BLACK COLOR METAL LARGE AN CART
N/A
N/A (IN 21/134)
PA~~A69~~16
e:r: 326~4-~E-r
-Ni*
~86~
12
BRETFORD BLACK COLOR METAL LARGE AN CAR
N/A
NIA
13
14
15
16
17
18
19
20
PANASONIC CT-32G14A 32" TV SET
0333 17 (BLUE)
LD91060883
t wo SHELVES CABINET WOOD/METAL BEIGE COLOR
TF025 (RED)
N/A (IN 21/134)
TWO SHELVES CABINET WOOD/METAL BE IGE COLOR
TF023 (RED)
NIA (IN 21 /134}
NAVY BLUE OFFICE CHAIR ON FIVE WHEELS
N/A
N/A
H :\M~
Docurnents\Purchasing\Malerial SeNices\Property Disposal Ternplole_ UNDER_ 1K_2000.xlsx
·-:=-::_:.-:
A BROWARD.
\0.iCOLLEGE
As sets UNDER $1,000
•1
www. broward. ed u
Cost Cente r· 1
44101
Each Staff must check onlv one aooropriate box below
L::;s1 I Stclen Trade-!r.I Unser11ceable I Dcnation I Obsclete I Surplus
x
I
I
I
I
I
Other <Explain).
NOTE. Losl/Stolen items require a Police Report Nllh this form
Campus
Staff
Campus.
IBuildinq
!Room
1-t7
Central
17
I
I
Do ltem(s) require pick-up by Material Ser 11ces?
x
If Yes . Picked on or before what date?
Initiating Property Cust_odian Signature ·
Property Control/Material Services Signature
)
Pallet ID
Mt-it?:\j I/) /
11
<l
~ /~
'
Pror-e1y Control Aucit Number
it I I J(f3
Date
/t (dJf
Date
t3
Phone
CJ&& >
Phone.
.
Form ID
3) Email to raviles~broward.edu and cc: dmcdade(@broward.edu
Items
Ex.
1
2
3
Description
Asset
00123456
Panasonic 27" Model CT-2786\/YD TV Monitor
NIA
-
4
I
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
C-:t-2 Q' J
Disposition
Cost Center P.ominis1ra1or Nestor Pereira
Yes .
No·
1s
·-
-
I
I
I.
Serial Number
123456789
LC831401112
,

File

Transcription

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