REQUEST TO SURPLUS PROPERTY FORM
PURCHASING
TO:
FROM
DEPARTMENT
EXTENSION
BUILDING
ROOM #
REQUESTED BY
CURRENT DATE
(If no tags, use serial number)
2nd. PROP
TAG #
1st. PROP
(all-white
TAG #
"Santa Rosa
DESCRIPTION
(w/gold or
Junior
WORKING
DO NOT USE
QTY.
(Please, also include size)
MANUFACTURER
green bar)
College")
Yes/No
SURPLUS #
COMMENTS:
Department Chair Sign
Date
Administrator Signature
Date
Purchasing Approval
Date
Files/Masters/Surplus Blank
CC: Solomon Ghebretensae Purchasing/Warehouse
Form Updated 12/2002