AM Surplus Request
Request ID:

Request Date:
//
Request Status:
Submitted
Department:
 College of Sciences - Dean
Pick Up Location:
Broughton Hall A
Surplus Action:
Pick-Up
Comments: Room unlocked
#









QTY









Lot
N
N
N
N
N
N
N
N

Description
Couches
' Table (Brown Top)
' Computer Table
Chairs with Arms (Stripped)
Black Leather Chair
Gray Chair
 Drawer Lat File Cabinet
 Drawer Lat File Cabinet

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Contact:
Phone:
Fax:
Email:

Serial #

I have read and understand the Data Security Warning

// PM
// PM

End of Report

Terry Byron
/-
/-
tbyron@ncsuedu

Project









Asset Tag #

Certified by:

TBYRON

Asset ID

Condition
Poor
Good
Good
Good
Poor
Poor
Good
Good