Disposal Date: Bar Code Number: ___________________
Completed by: ________________________________________________________________________
Legal Description: ___________________________________________________________________ ____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Address: ___________________________________________________________________________ ____________________________________________________________________________________
Cost: $ Purchaser: ____________________________________
Disposal Method: Sale Trade Other ____________________________________
Condition of Asset: ____________________________________________________________________
Reason for Disposal: ___________________________________________________________________
____________________________________________________________________________________
Controlling Person: Completed by:
(Initials) (date)
-------------------------------------------------------------------------------------------------------------------------------
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.
