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: Door should be unlocked Other items are in hallway going to 
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QTY












Lot
N
N
N
N
N
N
N
N
N
N
N

Description
Dell Precision 
Dell Optiplex 
Dell Optiplex 
Dell Optiplex 
Dell Optiplex 
Dell Optipelx 
Dell Optiplex 
APC Rack Mount UPS
Beige / Rack
Box PDU (Horizontal)
Black Metal Cart

Data Security Warning

Created By:
Last Updated:

Y

TBYRON
TBYRON

Serial #
HWS
MC
DDC
CZYRP
RSD
GCKH
GBKH

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
Poor
Poor
Poor
Poor
Poor
Poor
Poor
Good
Good
Good