AM Surplus Request
Request ID:

Contact: Terry Byron
Request Date:
//
Phone:
/-
Request Status:
Submitted
Fax:
/-
Department:
 Statistics
Email:
tbyron@ncsuedu
Pick Up Location:
SAS Hall 
Surplus Action:
Pick-Up
Comments: Please call - or email tbyron@ncsuedu  hours prior to pickup, due to limited staff
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QTY











Lot
N
N
N
N
N
N
N
N
N
N

Description
Xerox Phaser Printer
Xerox Phaser Printer
Xerox Phaser Printer
Xerox Phaser Printer
Xerox Phaser Printer
Xerox Phaser Printer
Dell PC
Dell PC
Dell Monitors
Dell Docking/Monitor Stand

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Serial #
XL
XL
XL
XL
XL
XLV
HGG
DPC

I have read and understand the Data Security Warning

// AM
// PM

End of Report

Project











Asset Tag #

Certified by:

TBYRON

Asset ID

Condition
Good
Good
Good
Good
Good
Good
Poor
Poor
Good
Good