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: Door should be unlocked
#













QTY













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

Description
Dell  PC
Dell  PC
Dell  PC
Dell  PC
Xerox Printer 
Xerox Printer 
Xerox Printer 
Xerox Printer 
Xerox Printer 
Xerox Printer 
Xerox Printer 
Box of Power Cables

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Contact:
Phone:
Fax:
Email:

Serial #
ZY
PC
CRC
SC
XL
XL
XL
XL
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
Poor
Poor
Poor
Poor
Good
Good
Good
Good
Good
Good
Good
Good