AM Surplus Request
Request ID:

Request Date:
//
Request Status:
Submitted
Department:
 College of Sciences - Dean
Pick Up Location:
SAS Hall 
Surplus Action:
Pick-Up
Comments: Room should be unlocked
#












QTY












Lot
N
N
N
N
N
N
N
N
N
N
N

Description
Xerox Phaser Printer
Xerox Phaser Printer
Xerox Phaser Printer
Xerox Phaser Printer
iPad Mini
iPad
Dell Optiplex 
Dell Optiplex 
Dell Optiplex 
Dell Optiplex 
Blue Chair on Casters

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Contact:
Phone:
Fax:
Email:

Serial #
XL
XL
XL
XL
FKJREFC
DMQLRDMFKYC
ZB
CQC
CVC
DQC

I have read and understand the Data Security Warning

// AM
// PM

End of Report

Terry Byron
/-
/-
tbyron@ncsuedu

Project












Asset Tag #

Certified by:

TBYRON

Asset ID

Condition
Poor
Poor
Poor
Poor
Poor
Poor
Poor
Poor
Poor
Poor
Poor