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

Description
Dell Laptop
TrippLite UPS
Xerox Phaser DN
Xerox Phaser DN
Xerox Phaser DN
Xerox Phaser DN
Xerox Phaser DN
Xerox Phaser DN
Xerox Phaser DN
Xerox Phaser DN

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Contact:
Phone:
Fax:
Email:

Serial #
JGXH
CYAC
XL
XL
XL
XL
XL
XL
XL
XL

I have read and understand the Data Security Warning

// PM
// PM

End of Report

Terry Byron
/-
/-
tbyron@ncsuedu

Project











Asset Tag #

Certified by:

TBYRON

Asset ID

Condition
Poor
Good
Good
Good
Good
Good
Good
Good
Good
Good