AM Surplus Request
Request ID:

Request Date:
//
Request Status:
Submitted
Department:
 Statistics
Pick Up Location:
SAS Hall 
Surplus Action:
Pick-Up
Comments: Room unlocked
#








QTY








Lot
N
N
N
N
N
N
N

Description
Leather Chairs on Casters
Chairs on Casters (Cloth Back)
Xerox Phaser DN
Xerox Phaser DN
Xerox Phaser DN
Small Dell Monitor
Erisan Projector

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Contact:
Phone:
Fax:
Email:

Serial #

XL
XL
XL

I have read and understand the Data Security Warning

// AM
// AM

End of Report

Terry Byron
/-
/-
tbyron@ncsuedu

Project








Asset Tag #

Certified by:

TBYRON

Asset ID

Condition
Good
Good
Poor
Poor
Poor
Good
Good