AM Surplus Request
Request ID:

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












QTY












Lot
Y
N
N
N
N
N
N
N
N
N
N

Description
Box of Dell Port Replicators
Dell PC 
Dell PC 
Dell PC 
Dell PC 
Dell Laptop
Dell Laptop
Dell Laptop
Dell Laptop
Dell Laptop
'x' Whiteboard

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Contact:
Phone:
Fax:
Email:

Serial #
GTGCX
XMFFX
LMQCX
BZB
KQ
FXDYZ
BKK
ZZP
TXXZ

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
Good
Good
Good
Good
Good
Good
Good
Good
Good