AM Surplus Request
Request ID:

Contact:
Request Date:
//
Phone:
Request Status:
Submitted
Fax:
Department:
 College of Sciences - Dean
Email:
Pick Up Location:
SAS HALL 
Surplus Action:
Pick-Up
Comments: Goto ROOM  The door should be unlocked, (It sticks so push hard)
#











QTY











Lot
N
N
N
N
N
N
N
N
N
N

Description
Phaser DN Printer
Phaser DN Printer
Phaser DN Printer
Phaser DN Printer
Phaser DN Printer
Phaser DN Printer
Phaser DN Printer
Phaser DN Printer
Surface Laptop
Dell Laptop

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Serial #
XL
XL
XL
XL
XL
XL
XL
XL

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