HomeMy WebLinkAbout5-a.2.a Asset Disposal AGENDA ITEM 5-a.2.a
REQUEST FOR SURPLUS DECLARATION AND/OR
ASSET DISPOSAL AUTHORIZATION
02/07/23
Asset Number Description Cost Per Unit Acquired Date Book Value
13688 Ground Penetrating Radar- DE 2450GR Radar "1" $ 24,450.00 10/4/2012 $ -
14721 2450 Ground Penetrating Radar $ 24,450.00 1/31/2016 $ 582.15
15934 GROUND PENETRATING RADAR $ 23,741.00 10/4/2018 $ 9,326.87
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Clay County Utility Authority
Equipment Update Form
Disposal/Surplus Section:
i Dispose Surplus Placement [Ui Surplus Removal
Placement Location:
(If Requesting Disposal, please indicate reason below)
❑ Lost *Obsolete Date Agenda Approved
E Cannibalized El Stolen / Vandalized -
Damaged ❑ Returned to Vendor
* If Stolen / Vandalized, please provide a copy of the police report.
Asset # Item Description (Make/Model) Serial #
13688 Ditch Witch Ground Penetrating Radar 8324518
14721 Ditch Witch Ground Penetrating Radar 8372466
15934 Ditch Wtch Ground Penetrating Radar 8431616
Dept Name: D&C -fRequeste_by: J. David Rawlins
Dept Head Approval: „ Date: 1/24/23
to Final Disposal Details--
Method of Disposal: Date:
Details/Comments:
Person Disposing: Date:
Witness: Date:
Transfer/Loan Section (Between departmental offices):
[ i Transfer Loan
Asset # Item Description (Make/Model) Serial # Est Rtm Date
I acknowledge receipt of the above referenced equipment. I will return this equipment
when it is no longer required in the same condition. or better than I received it.
Grantor (from) Grantee (to)
Dept Name: ,Dept Name:
Custodian: Custodian:
Today's Date: Today's Date: