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: Next door in , door unlocked, but Sticks
#











QTY











Lot
N
N
N
N
N
N
N
N
N
N

Description
Asus Monitor (No Stand)
Apple Laptop
Xerox Printer DN
Xerox Printer DN
Xerox Printer DN
Xerox Printer DN
Xerox Printer DN
Xerox Printer DN
Xerox Printer DN
Xerox Printer DN

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Contact:
Phone:
Fax:
Email:

Serial #
CMLPCFH
XL
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
Good
Good
Good
Good
Good
Good
Good
Good
Good
Good