802.4E4 - Fixed Assets Management System Machinery and Equipment Fixed Assets Disposal Form

Disposal Date:                                                       Bar Code Number:                    ___________________

Completed by: ________________________________________________________________________

Description:    ________________________________________________________________________   ____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Quantity:    __________________________      Serial/Model No.: ______________________________

Disposal Method:  Trade-in          Junk          Sale          Trade          Other __________________

Condition of Item: _____________________________________________________________________  

Reason for Disposal: ___________________________________________________________________  
____________________________________________________________________________________

Cost: $                                                                   Actual _____  Estimate ____

Controlling Person:                                                                 Completed by:                                                
                                                                                                                     (Initials)               (date)

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Authorization:

Entered into the Fixed Assets Management System Record by: __________________________________                                                                               
                                                                                                       (Initials)                                (date)

 

The upper portion of this form is to be completed in accordance with the Fixed Assets Management System Administrative Regulations.  The lower portion of this form is to be completed by the superintendent.

Instructions:  This form is used to remove a fixed asset that is of no further service/use to the school district.  The upper portion of this form is to be completed in accordance with the Fixed Assets Management System Administrative Regulations.  The lower portion of this form is to be completed by the superintendent.  The information on this form should be entered into the fixed assets management system on the same day the relocation/transfer is completed and no later than in the month in which the relocation/transfer occurred.