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 Else see Terry in 
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QTY










Lot
N
N
N
N
N
N
N
N
N

Description
 Drawer Lat File Cabinet
Office Chair on Casters
Cisco/Samsung TV
Dell PC Inspiron S
Dell PC Optiplex 
Dell PC Optiplex 
Dell PC Optiplex 
Box of PC Power Cables
Tesla GPU Card

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Contact:
Phone:
Fax:
Email:

Serial #

BPHCHSAZ
DTF
FSFX
CDL
GK
N/A

I have read and understand the Data Security Warning

// PM
// PM

End of Report

Terry Byron
/-
/-
tbyron@ncsuedu

Project









Asset Tag #

Asset ID





Certified by:

TBYRON

Condition
Good
Poor
Poor
Poor
Poor
Poor
Poor
Good
Poor