HomeMy WebLinkAbout06.a.02.a Asset Disposal AGENDA ITEM 6-a.2.a
REQUEST FOR SURPLUS DECLARATION AND/OR
ASSET DISPOSAL AUTHORIZATION
10/06/26
Asset# Year Make/Model SN Date Acquired
02899 1996 Cat 924 F 5NN0273 03/12/1996
13802 2013 Cat 314E ZJT00328 07/24/2013
Clay County Utility Authority
Equipment Update Form
Disposal/Surplus Section:
❑x Dispose ❑ Surplus Placement ❑ Surplus Removal
Placement Location:
(If Requesting Disposal, please indicate reason below)
❑ Lost ❑Obsolete Date Agenda Approved
❑ Cannibalized ❑Stolen / Vandalized *
❑ Damaged x❑ Returned to Vendor (as a trade-in)
* If Stolen / Vandalized, please provide a copy of the police report.
Asset # Item Description (Make/Model) Serial #
2899 1996 Caterpillar 924F Loader 5NN0273
13902 2013 Caterpillar 314E Excavator ZJT00328
Dept Name: D&C; ww Requested by: David Rawlins
Dept Head Approval: Date:
Final Disposal Details
Method of Disposal: Trade in Date:
Details/Comments: Returned to RingPower used as a trade in on new FY 26/27 Departmental Capital purchases
Person Disposing: Date:
Witness: Date:
Transfer/Loan Section (Between departmental offices):
❑ Transfer ❑ Loan
Asset # Item Description (Make/Model) Serial # Est Rtrn Date
N/A N/A
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: N/A Dept Name: N/A
Custodian: Custodian:
Today's Date: Today's Date: