HomeMy WebLinkAbout2005 Buick LaCrosse DisposalAsset Disposal/Transfer Form
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City of Rexburg
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Rexburg. ID 83440 www.texbvrg.org Fox: 208.354.3022
When a department disposes (sales, salvages, transfers, or discards) of an asset that would have cost more than a $1000
when originally purchased, it is required that this form be completed and given to the finance department to ensure the
proper accounting of the disposed asset. If the asset has a tag as shown below, please provide the Fixed Asset Number
Example
ASSET INFORMATION
Department FinnvtLL
Fixed Asset d
Asset Description a=5 �, .L Llic,,ssc.. 1.5, -Df
Asset Vin/Serial# cQii4WE S?sIt,S 191S -7-7Q
Was this asset purchased originally on a grant? Yes_ No_x_
If yes, have you read the grant rules regarding the disposal or sale of such asset and ensured they are being
followed? Yes ��No 'a
Reason for Disposal u� 41D 00
Dateof Disposal lb -Z. -fl '.I
Method of Disposal (Auction, Throw Away, Transfer, Contribute) Ayr --II W
1' eb Sr�t
Department Asset Transferred to
Sale Amount A' 9W XD
Employee
Employee
Date 10-2-11
******•* Return to Accounts Payable Clerk in the Finance Department ••••••'•
Needed Processes to Dispose of Completed:
Equipment Maintenance Base Signature
Fixed Asset Base Signature