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: Room should be unlocked else call Terry @ - ( SAS Hall)
#











QTY











Lot
N
N
N
N
N
N
N
N
N
N

Description
Small Green Chairs
Blue Chair w/ Arms no casters
iMac Computer
FX Server Chasis
FC Blade Server
FX Server Chasis
FC Blade Server
FX Server Chasis
FC Blade Server
Blue Chairs no arms

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Serial #

DKFVDGDNMM
FZDGB
FWDGB
TZWMN
VDWMN
GLQSD
GPQSD

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
Poor
Poor
Good
Good
Good
Good
Good
Good
Good
Good