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

Description
Xerox Phaser 
Xerox Phaser 
Xerox Phaser 
Computer Monitors
 Drawer Lat File Cabinet
IBM Laptop w/ Power in Bag
IBM Laptop w/ Power in Bag
Apple Air "
Apple MacPro "
Apple Air "

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Contact:
Phone:
Fax:
Email:

Serial #
XL
XL
XL

CTDRBZBL
WZD
CGGQYVDJWT
CMKFH
CKWAFYW

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
Poor
Good
Good
Good
Good
Good
Good