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
Microsoft Surface
Xerox Printer 
Xerox Printer 
Xerox Printer 
Xerox Printer 
Xerox Printer 
Xerox Printer 
Xerox Printer 
Xerox Printer 
Xerox Printer 
Xerox Printer 

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Contact:
Phone:
Fax:
Email:

Serial #

XL
XL
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
Good