HomeMy WebLinkAbout05.a.02.a Disposal of Assets AGENDA ITEM 5-a.2.a
REQUEST FOR SURPLUS DECLARATION AND/OR
ASSET DISPOSAL AUTHORIZATION
05/06/25
Asset Number Description Cost Per Unit Acquired Date Book Value
05674 2001 GMC SONOMA $ 12.240.45 05/16/01 $ -
08315 2004 CHEVROLET TRAILBLAZER $ 20,901.00 01/28/04 $ -
10344 2006 GMC SIERRA 2500 4WD $ 22.975.00 04/24/06 $ -
10345 2006 GMC TK35903 $ 31.016.00 03/19/06 $ -
10347 2006 GMC TK35903 $ 31,016.00 03/19/06 $ -
11553 2008 CHEVROLET CK30903(3500) $ 37.065.00 09/07/07 $ -
11554 2008 CHEVROLET CK20903(2500) $ 34,548.00 09/06/07 $ -
11559 2008 CHEVROLET CK10753(1500) $ 24,441.00 09/08/07 $ -
12254 2008 FORD F-150 $ 14,638.00 04/09/08 $ -
13249 2011 FORD F-150 $ 15.916.00 05/26/11 $ -
13261 2011 CHEVROLET CK30903(3500) $ 37.123.00 07/05/11 $ -
13267 2011 CHEVROLET CC20903(2500) $ 24.804.00 06/30/11 $ -
14075 Canon Image Runner C 7260"Goofy" $ 13.125.00 11/26/13 $ -
15175 2017 GMC SILVERADO 3500 HD $ 43.660.65 02/28/17 $ -
Clay County UtilityAuthority
ority
Equipment Update Form
Disposal/Surplus Section:
0 Dispose ❑Surplus Placement 0 Surplus Removal
Placement Location:
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❑ Lost �Obsolete Date Agenda Approved
❑ Cannibalized 0 Stolen / Vandalized
El Damaged ❑Returned to Vendor
*if Stolen/ Vandalized, please provide a copy of the police report.
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05674 2001 GMC Sonoma Pickup Truck (102,114 Miles) 1GTCS14W418231191
08315 2004 Chevrolet Trailblazer SUV(107,407 Miles) 1GNDS13SX42298279
10344 2006 GMC 2500 Pickup Truck (197,965 Miles) 1GTHK29U46E244325
10345 2006 GMC 3500 Utility Body Truck(189,392 Miles) 1GTHK34D86E230103
10347 2006 GMC_3500 Utility Body Truck (255,070 Miles) 1GTHK34D86E229713
Dept Name: Fleet Maint Requested by: Jim Moore
Dept Head Approval: ,L__., Date: 24 Apr 2025
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Method of Disposal: J. . One uctions Date: 28 May 2025
Details/Comments: Asset Disposal
Person Disposing: Jim Moore Date:
Witness: Doug Schutter Date:
Transfer/Loan Section (Between departmental offices):
❑Transfer ❑ Loan
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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.
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Dept Name: Dept Name:
Custodian: Custodian:
Today's Date: Today's Date:
Clay County Utility Authority
Equipment Update Form
Disposal/Surplus Section:
0 Dispose ❑Surplus Placement ❑ Surplus Removal
Placement Location:
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Lost El Obsolete Date Agenda Approved
❑ Cannibalized ❑Stolen / Vandalized *
❑ Damaged ❑Returned to Vendor
*If Stolen/ Vandalized, please provide a copy of the police report.
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11553 2008 Chevrolet 3500 Utility Body Truck (193,234 Miles) 1GBHK34628E120575
11554 2008 Chevrolet 3500 Utility Body Truck (123,062 Miles) 1GBHK24688E118582
11559 2008 Chevrolet 1500 Pickup Truck (166,230 Miles) 1GTHK29U46E244325
12254 2008 Ford F-150 Pickup Truck (151,666 Miles) 1FTRF12218KD60341
13249 2011 fS.- -150 Pickup Truck (183,528 Miles) 1FTMF1CM7BFB71848
Dept Name: Fleet Maint Requested by: Jim Moore
Dept Head Approval Date 24 Apr 2025
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Method of Disposal: J. aney ctions Date: 28 May 2025
Details/Comments: Asset Disposal
Person Disposing: Jim Moore Date:
Witness: Doug Schutter Date:
Transfer/Loan Section (Between departmental offices):
❑Transfer ❑ Loan
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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.
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Dept Name: Dept Name:
Custodian: Custodian:
Today's Date: Today's Date:
Clay County Utility Authority
Equipment Update Form
Disposal/Surplus Section:
0 Dispose ❑Surplus Placement ❑ Surplus Removal
Placement Location:
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❑ Lost 0 Obsolete Date Agenda Approved
❑ Cannibalized ❑Stolen / Vandalized *
❑ Damaged ❑Returned to Vendor
*If Stolen/ Vandalized, please provide a copy of the police report.
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13261 2011 Chevrolet 3500 Utility Body Truck (181,684 Miles) 1GC3KZC82BZ390630
13267 2011 Chevrolet 2500 Utility Body Truck (210,725 Miles) 1GCOCVCG8BF247361
Dept Name: Fleet Mai Requested by: Jim Moore
Dept Head Approval: Date: 24 Apr 2025
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Method of Disposal: J.J. uct ns Date: 28 May 2025
Details/Comments: Asset Disposal
Person Disposing: Jim Moore Date:
Witness: Doug Schutter Date:
Transfer/Loan Section (Between departmental offices):
❑ Transfer ❑ Loan
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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.
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Dept Name: Dept Name:
Custodian: Custodian:
Today's Date: Today's Date:
Clay County Utility Authority
Equipment Update Form
Disposal/Surplus Section:
0 Dispose ❑Surplus Placement ❑ Surplus Removal
Placement Location:
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❑ Lost ❑Obsolete Date Agenda Approved
❑ Cannibalized ❑Stolen / Vandalized *
0 Damaged ❑Returned to Vendor
*If Stolen/ Vandalized, please provide a copy of the police report.
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15175 2017 Chevrolet 2500 Utility Body Truck (77,073 Miles) 1GT32VCY7HZ201214
Dept Name: Fleet Main , Requested by: Jim Moore
Dept Head Approval: / Date: 24 Apr 2025
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Method of Disposal: CoPART Jac son ille Date: 12 May 2025
Details/Comments: Moto ' - icle Accident/Vehicle Total Loss
Person Disposing: Stanley Jurewicz Date: 25 Apr 2025
Witness: Jim Moore Date: 25 Apr 2025
Transfer/Loan Section (Between departmental offices):
❑ Transfer ❑ Loan
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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.
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Dept Name: Dept Name:
Custodian: Custodian:
Today's Date: Today's Date:
Clay County UtilityAuthority
horny
Equipment Update Form
Disposal/Surplus Section:
®Dispose n Surplus Placement Il Surplus Removal
Placement Location:
(If Requesting Disposal, please indicate reason below)
❑Lost Obsolete Date Agenda Approved
❑ Cannibalized H Stolen / Vandalized
H Damaged ❑ Returned to Vendor
* If Stolen / Vandalized, please provide a copy of the police report.
Asset # Item Description (Make/Model/BV) Serial #
14075 Canon ImageRunner Adv C7260 (11/25/2013) BV: $0.0 LWA01981
Dept Name: Admin (IT) Requested by: Jacob Rutkowski
Dept Head Approval: �.�1 -/ Date: 5/1 /2.025
Final Disposal Details
Method of Disposal: Sensible Recycling Date:
Details/Comments: J.D. will schedule / coordinate pickup upon Board approval
Person Disposing: J.D. Date:
Witness: Date:
Transfer/Loan Section (Between departmental offices):
Transfer H 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: Admin (IT) Dept Name:
Custodian: Custodian:
Today's Date: Today's Date: