t

Serial#
DWQTVJGN
DWQUKJGN
DWQUJGN
FJL
GSPC

ZSRW
JTPP
DVVGL
CNGJB
CMFJC
CGXADJD

Description
Apple iMac "

Apple iMac "

Apple iMac "

DELL PRECISION TN

PRECISION MINI TOWER, CMPTR
HR

PC - Dell Dim 

PC - Dell Opt 

PC - Dell XPS 

HP LaserJet 

Apple iMac "

Apple Mac Mini

-

-

-

-

-

-

-

-

Project
-

Request ID:

Request Date:
//
Request Status:
Pending C&G Review
Department:
 College of Sciences - Dean
Pick Up Location: A
Comments:
In Hallway as heading towards 

Contact:
Phone:
Email:
Surplus Action:





Asset Tag#

SURPLUS REQUEST FORM





Asset ID

Terry Byron
/-
tbyron@ncsuedu
Pick-Up

Poor

Poor

Poor

Poor

Poor

Poor

Poor

Poor

Good

Good

Condition
Good

Certified By

Serial#
DRMN

TBYRON // : AM

Project
-

Asset Tag#

Asset ID

Condition
Poor

Y

Certified By

TBYRON // : AM

Y

Certified By

TBYRON // : AM

TBYRON

TBYRON

y:

ted:

// : AM

// : AM

artment disposing of (i) tractors, mowers, skid steers or (ii) cars, trucks, vans and trailers, must provide signed copy of the surplus request with signatures
epartment and Surplus Property to remove the item (s) from Risk Management Insurance

gement

ding devices that may have internal storage (eg, copiers, printers, scanners, projectors, etc) on this form, please check with the manufacturer for verification if
sts If equipped with internal storage, it is the responsibility of the department to erase all data on the internal storage or remove it before turning the device over
Devices with internal storage retain images made during the life of the equipment

rity Note

artment disposing of equipment that (i) may have been used to process hazardous materials, or (ii) may contain hazardous material which cannot be removed,
contains radioactive materials, must receive clearance as appropriate from the Environmental Health & Safety Dept, or the Radiation Protection Office before
ent may be surplused

Y

Description
Laptop - Dell E

Materials Notice

ons

t