HomeMy WebLinkAboutSurplus Request - Public WorksGrant County Public Works
Property Transaction Form
Action: Deletion Person Submitting Form: Ed Lowry
Date Submitted: 3/18/2019 Dept. Submitting Form: Public Works
DESCRIPTION OF PROPERTY/ASSET
Asset ID: 11097 _
Description: jTwo Air 50' hose reels
Dept. Assigned Vehicle #, if used:
Manufacturer: INapa Serial #:
Model #: ME/EX/XA Model Year:
Department: jPublic Works Dept. Purchased By: ISelect One
Physical Location: IRD1 Hartline I Purchase Date: 11/29/07
Custodian: I 7Vendor: lEphrata Auto Parts —71
Cost: 1287.44 —� Account Expense #:
Transfer of Property/Asset
Dept. Transferred From: ISelect One Dept. Approval:
Dept. Transferred To: Iselect One Dept. Approval:
Date Transferred: New Physical Location: Iseiect One
New Custodian:F— —
Surplus Request
Surplus Date: 3/18/2019 Commissioner Ap roval
Manner of Disposal: IDES Auction Dist #1:
Current cost of Asset: 125.00 Dist #2: !
Dist #3: W
COMPLETED FORMS ARE TO BE FORWARDED TO THE PUBLIC WORKS ACCOUNTING DEPT
t GRANT COUNT JBLIC WORKS f
EFFECTIVE: JULY IST, 2004 INVENTORY FORM
DEPARTMENT
COMPONENT:
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ASSET ID:�
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DESCRIPTION:_.,
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CONDITION: (CIRCLE ONE)
NE USED LEASED
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MODEL NUMBER:
DONATED CONSTRUCTED
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ACCUMUt�ATED DEPRECIATI
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MANUFACTURER:
SERIAL NUMBER:
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LICENSE NUMBER:
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QUANTITY:
WARRANTY VENDOR:
PRICE:
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% /
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TAXES:
TOTAL COST:
WARRANTY EXPIRATION:
S&H:
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TOTAL UNIT PRICE:
LIFE:
TYPE: (CHOOSE FROM LIST)
SALVAGE VALUE
FUND:
CLASS: (CHOOSE FROM LIST)
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LOCATION: (CHOOSE FROM LIST)
DEPARTMENT:
RETIRIgfT T�I]E
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CUSTODIAN: (CHOOSE FROM LIST)
REVENUE SOURCE:
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rADDITlO TRANSFER
ACTIVITY: (CIRCLE ONE)
GRANT:
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SURPLUS JUNK
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VENDOR:
INVOICE NUMBER:
DATE PURCHASED:
ASSET RETIRED:
OLD ASSET NUMBER:
DATE IN SERVICE:
EXPANDED DESCRIPTION
LAST INVENTORY:
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TRANS OF EQUIP. TO WHICH DEPT:
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JUNKED:
DATE OF TRANSFER:
SURPLUS:
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DATE:SGNATURE: Z'! J-
•_ _ ovFRrCU1IN IMSE ONLY
CONTROL NO,'; '
EPHRATA AUTO PARTS
PHONE 754-4895 P.O. BOX 758
1050 BASIN ST., S.W. EPHRATA, WASHINGTON 98823 p��ll
FEDERAL ID # 91-0499597
TERMS: Due and discountable 2% 10th of month
following date of purchase, (unless otherwise noted.)
1'V2% per month service charge on past due accounts.
Minimum service charge $1.00 per month.
DISCLAIMER OF WARRANTIES - Any Warranties of the products sold hereby, are the warrantee of the
manufacturer of those products. The seller hereby expresslyy disclaims all warranties, express or Implied, - -
including any implied warranty of merchantability or fitness for a particular purpose, and neither assumes
{{{I nor authorizes any other person to assume for it any liability In connection with the. sale of the products.
PARTS MUST BE CHECKED OUT BY INSTALLER BEFORE INSTALLING. IMPROPER LISTING OR
APPLICATION IS NOT THE RESPONSIBILITY OF EPHRATA AUTO PARTS, INC. .
RECO
BY X
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NO RETURN ON ELECTRICAL PARTS
S -- 3 s'WQ� Hit, e. RteV,
ACCT, 146: SOLD TO DATE INVOICE NO, STORE NO. CM SLS
TIME PURCHASE ORDER NO. ATTENTION
INVOICE TYPE-->
QUANTITY PART NUMBER LINE DESCRIPTION PRICE • NET TOTAL CODE
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susTcyrAL-,r °°=?^x� TOTAL ' 7,
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