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Home My WebLink About05.a.02.a Asset Disposal AGENDA ITEM 5-a.2.a REQUEST FOR SURPLUS DECLARATION AND/OR ASSET DISPOSAL AUTHORIZATION 06/04/24 ASSET# DESCRIPTION 02122 Hydro Tank—Tanglewood WTP 02177 Hydro Tank—Pace Island WTP 00284 Hydro Tank—Lucy Branch WTP 09181 2005 Chevrolet 3500 13285 2005 Chevrolet 3500 10348 2006 GMC 3500 11656 2005 Chevrolet 3500 13259 2011 Chevrolet 2500 13260 2011 Chevrolet 2500 14498 2016 Chevrolet 3500 Clay County Utility Authority Equipment Update Form Disposal/Surplus Section: _ 0 Dispose El Surplus Placement _ Surplus Removal Placement Location: (If Requesting Disposal, please indicate reason below) ❑ Lost 0 Obsolete Date Agenda Approved ❑ Cannibalized ❑Stolen / Vandalized ❑ Damaged ❑ Returned to Vendor * If Stolen / Vandalized, please provide a copy of the police report. Asset # Item Description� (Make/Model) _ Serial # U 1 1 Tanglewood Hydro Tank(Dixie Tank) [t/fix C-961 Pace Island Hydro Tank I lc ((' Lucy Branch Hydro Tank rib 3 Dept Name: Water Requested by: Jason McLain Dept Head Approval: Date: 5/13/2024 Final Disposal Details Method of Disposal: Tank Rehab Removal Date: Details/Comments: Tank Rehab will pick up and remove old tanks Person Disposing: Tom Donavan Date: Witness: Date: Transfer/Loan Section (Between departmental offices): ❑Transfer fI Loan Asset # Item Description (Make/Model) Serial # Est Rtrn 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: Clay County Utility Authority Equipment Update Form Disposal/Surplus Section: ❑■ Dispose ❑ Surplus Placement ❑ Surplus Removal Placement Location: (If Requesting Disposal, please indicate reason below) ❑ Lost ❑■ Obsolete Date Agenda Approved ❑ Cannibalized ❑Stolen / Vandalized * ElDamaged ElReturned to Vendor 04 Jun 2024 * If Stolen / Vandalized, please provide a copy of the police report. Asset # Item Description (Make/Model) Serial # 09181 2005 CHEV 3500 4WD UTILITY BOX VIN: 1GCJK34295E184781 1GCJK34295E184781 10348 2006 GMC 3500 4WD UTILITY BOX VIN: 1GTHK34D36E229523 1GTHK34D36E229523 11656 2008 CHEV 3500 4WD UTILITY BOX VIN: 1GBHK34628E120771 1GBHK34628E120771 13259 2011 CHEV 2500 4WD UTILITY BOX VIN: 1GC0KVC85BZ383540 1GC0KVC85BZ383540 13260 2011 CHEV 2500 4WD UTILITY BOX VIN: 1GCOKVC81BZ386029 1GCOKVC81BZ386029 Dept Name: Fleet Maint Requested by: Jim Moore Dept Head Approval: Date: 30 May 2024 Final Disposal Details Method of Disposal: Tampa Machinery Auction Date: July 2024 Details/Comments: Asset Disposal Person Disposing: Jim Moore Date: Witness: Doug Schutter Date: Transfer/Loan Section (Between departmental offices): ❑ Transfer ❑ Loan Asset # Item Description (Make/Model) Serial # Est Rtrn 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: Clay County Utility Authority Equipment Update Form Disposal/Surplus Section: ❑■ Dispose ❑ Surplus Placement ❑ Surplus Removal Placement Location: (If Requesting Disposal, please indicate reason below) ❑ Lost ❑■ Obsolete Date Agenda Approved ❑ Cannibalized ❑Stolen / Vandalized * ElDamaged ElReturned to Vendor 04 Jun 2024 * If Stolen / Vandalized, please provide a copy of the police report. Asset # Item Description (Make/Model) Serial # 13285 2011 CHEV 3500 DRW 4WD UTILITY BOX VIN: 1GB3KZCL5BF245317 1GB3KZCL5BF245317 14498 2016 CHEV 3500 2WD EXPRESS VAN VIN: 1GC2KVEG3GZ159929 1GC2KVEG3GZ159929 Dept Name: Fleet Maint Requested by: Jim Moore Dept Head Approval: Date: 30 May 2024 Final Disposal Details Method of Disposal: Tampa Machinery Auction Date: July 2024 Details/Comments: Asset Disposal Person Disposing: Jim Moore Date: Witness: Doug Schutter Date: Transfer/Loan Section (Between departmental offices): ❑ Transfer ❑ Loan Asset # Item Description (Make/Model) Serial # Est Rtrn 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: