Name Signature Position Check-Out Date Return Date Attachment 3 Title I/III Equipment Inventory Control Procedure Equipment Transfer Form Description of Equipment: Model: Title I/III Inventory Control Number or Fixed Asset Number: Location Prior to Transfer: Location After Transfer: Surrendering Location Director / Principal Signature Date Receiving Location Director / Principal Signature Date Attachment 4 DECLARATION OF INTENT TO DISPOSE OF EQUIPMENT Department of Education Decal Number: Location: Description of Equipment: Approximate Age: Acquisition Cost: Estimate of Fair Market Value or Trade-in Value: Condition of Equipment: TRADE-IN SURPLUS Approved by: Office Director’s Signature Date Vendor’s Signature Date Material Management Officer’s Signature Date (Surplus Only – Check One) “Like equipment” will not be purchased in current fiscal year..
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