AM Surplus Request
Request ID:

Request Date:
//
Request Status:
Submitted
Department:
 College of Sciences - Dean
Pick Up Location:
Broughton Hall C
Surplus Action:
Pick-Up
Comments: Items or in Hallway accross from room C
#









QTY









Lot
N
N
N
N
N
N
N
N

Description
Dell Server R
Dell Server R
Dell Server R
Dell Server R
Dell Server R
Dell Server R
Apple iMac
Office Chair (No Casters)

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Contact:
Phone:
Fax:
Email:

Serial #
FSPS
DPPQ
JZMS
BPPQ
WGNPQ
GYS
QPWMRU

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
Poor
Poor
Poor
Poor
Poor
Poor