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Item N6 BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: June IS. 16. 2005 Division: Monroe County Bulk Item: Yes XX No Department Fixed Asset Surplus Staff Contact Person: Oivina O. Speer AGENDA ITEMWoiiiiiNG: . Approval to advenise surplus equipment for bid and approval to remove surplus equipment from inventory via disposal. *444"1401" ITEM BACKGROUND: See attached schedule ...................................,..n .PREVr(){JSRELEVANT'SOCCAC'rfoN:N/A 44 CONTRACT/AGREEMENT CHANGES: NfA .~....................................................".,w.-u.-um_ S I AFF RECOMMENDATIONS: "",~...'...'.'...'.'.'.'.'.'.'.'.'.'.'.'.'.-.'.-.'..'.-...-.. ,-.......... .......................................................................................................................................................................,............................'.......... TOT AI. COST: N/A BUDGETED: Yes No COST TO COUNTY: N/A SOURCE OF FUNDS: N/A REVENUE PRODUCING: Yes No AMOUNT PER MONTH_ Year APPROVED BY: County Atty _ OMB/Purchasing _ Risk Management ~ DIVISION DIRECTOR APPROVAL: ~ )1(~ (KEVIN MAOOK. Assistant Finance Director) DOCUMENTATION: Included Yes Not Required_I DISPOSITION: AGENDA ITEM # Revised VOS Sf27!200S Board of County Commlstoner June 15,11,2005 n~M aACKORtlNO .....:0:0:0:-:<.;..(.. MONROE COUNTY INVENTORY DELETION REQUEST I TO: DIVINA D. SPEER STOP ft PROPERTY CLERK. FINANCE DEPT. DATE: Ma)' 24. 200~ FROM: RO\' Sanchez. Director /y~ Fleet ~ Department ;~~~~=~:~@~-~~~~~;Z=~l;;;~~:~;;~r~:~~~i~~=i ;"-;%(;:gyR~PFfEEjj.V1$j:H~5i:ii.:if.~I--"-;"'~:;~-F?)ki:!i'F'.i..\ii..(5Alid6.;;iA'i}......".....1'.f~iXV....I:;i~fir^m.----...l--U.:.5::~5.rt:;).;;;~fn;ir....mum..: ~ . : . . . . . . 1..i.i;~:if.~:i'i.7.~........r..{f:;:i:igE:..i.;I:\74s:i:rf.E~:Ki:~}..........1....<r$..:i:i;fjh:6..f::i.3UOf}Xii{WY~7KH....................;..SIX\:....{:mS..............::i...i.:~::jWi<X;-)..'i..::gNr.fii.........1 '. " .' " '," " . '. . . . . . , . . . ", '. .' . ;.. " ': : . . . . . . .: , ., . I;:=r:~')===t~~~;:~:;~t-::~;:ri::~:;::~-; . (;:(. (:\ .~.,~. ..~ r~lJ)~\..v~~ x;.($-x ~,,~.:{~ . ~JJ ).~ ~~<.-~ u~...~ Pi~ K <~ ..........~.....~w..~~.~....~r:7fJf~t(I~jA~~r."U...'.,........~?..Ii:rffd}rf}'..I::z~:~~I(~~~......u.:. ;;::;;:':r:;;i~~:Y::~~::'II:;:~ddiA8i5iim -d~'iTmooJ';M;-l ........, ..........~~..:.:.~..-:.'.......~.....~....~...............:.~.~:".....;.;-,........................) Il4.~/n .t~~ / LM#Ot:i 1 . . . . .. '.' , . .............,.........,.................,.,............................................................................................................................,.;...:.:.:...:.:.:.....:..N........... CHECK ONE (I) APPROPRIATE LINE BELOW: xxx APPROVAL TO ADVERTISE FOR BIDS. APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE Of IT. APPROVAL TO REMOVE FROM INVENTORY AND TRANSFER TO: REASON FOI\. REOUEST: ABOVE ITEMS ARE ~ tUN',~ l.N U~b H.~YC 8t:J:.N tu;rl.'\~I::.1) ~".j.l) ~ BcYOl'ol1) ECONOMICAL REPAIR ADOmONALLY ALL UNITS ARE IN MARATHON. PREPARED BY: (~Clt. PRINT NAME: Ron Chen:Y "J2) ---- v' '-'" PRINT NAME' Denl Pierce ~ DATE: OS/241200S \ DMSION DIRECTOR APPROVAL: o~m FORM REVISED IG''2t.'200J I .. ...-.............. TO: DlVINA D. SPEER STOP tnI PROPERTY CLERK. FINANCE DEPT. MONROE COUNTY INVENTORY DELETION RE(')IJ!~~rr ..' ..:::'l: ./// ~~==I../?7~;~> ;..; ;.'.".: . ~~~u.::; ~ ~J DATE: Mav 23. 200s1 CHECK ONE (ll APPROPRIATE LINE BELOW: XXX APPROVAL TO ADVERTISE FOR BIDS. APPROVAL TO REMOVE FROM rNVENTORY AND DISPOSE OF IT. APPROVAL TO REMOVE FROM INVENTORY AND TRANSfER TO: REASON FOR REOUEST: ABOVE ITEMS ARE NO LONGER IN USE. HAVE BEEN REPLACED AND ARE B~YQND ECQMlMlCAL REPAJR. AODITIONALL Y ISl 91lEMS ARE IN KEY WEST. NEXT tiN MAMmoN AND LAST tIN PLANl'ATION KEY. PREPARED BY: ,.(~ DATE: ()~/ZJI2()()' DMS;::C:A:::. ~ cYJ~ PRINT NAME: D.ml~ OMB FORM RF.\lSEl> 10/21,'2003 DIVINA D. SPEER STOP #8 MONROE COUNTY INVENTORY DELETION REQUEST FROM: Louis Latorre ~'..f ..-r-.L;~~.~.~.'.' ::.:..:~: :l."{.............v~........,....~w. /~:r*.):t..; :,_'.d~: .. ~/l)-:~~..! . ~..... ... ...... " .L,.Ll . Social Services Director "':";' . . .....:. ~..: li)r,-1.;.,. 0).' J,\ - . _ :. : MI-1~.t 8 2005 I : .:.1'.: .; ............. '," ~ it::;X:' .......~;;.,.;.:;:::::::::::::z::;:;:;::::::-:.::::::::::::;:;:;::::::::;.:::::::::~:;:; PROPERTY CLERK. FINANCE DEPT. DATE: Mav 5. 20051 .,.... ... .........: ....;.................r.........'....'.:':;;';;;.;'..:.........,...... .......;;-..~:.~~1....~~1._.:...................................w.........wml.....m..".....l..)....,_..:~.:.l.::-...........,.....(....).:I-;ml:.'...l"".~t!.. ~,,,.;:...........:. : :,~M:.::. Is~'......$,Ab ."J<,",,::':< <, ['A. ~ ::. ? ~..:~ n ,<\~.,.~'i< "':S~, : .tn.Ntn\=m!:~.:.....J NlJMBER .m';$CRWT1(lN . iVt.a~O'M,S.t:n [ I~IU..$ENTVALVR : =~:~..~t;==$li=~3=~~=J . -. . . ~". L.=J=,:,~~:st;:==::::=::~::~~:J~~.:::=".=~1 ~ ." "," '": : :' :: ...... ..:,~.......o';'"'' ;' :: ."-~'-""-,~"""""" i '_~""""m.w...._..w............. ..........>.). .<";.,.."",:,, ....: ....;,w~m....~..........w.w...~.....m.......m.........w.J ...........,...:..~....,,:r ..~ ..~:. CHECK ONE (I) APPROPRIATE UNE BELOW: I APPROVAL TO ADVERTISE FOR BIDS. APPROV AL TO REMOVE FROM INVF.NTORY AND DISPOSE OF IT. APPROV AL TO REMOVE FROM INVENTORY AND TRANSFER TO: _ REASON FOR REQUEST: g~~nl;.w!nt.fr:h;.\5~.,1-J~~~r.s;J;\h~iiLl1.li11tD.t;1$\.ltl!lli.;'~ilh..~t~)f~0m!J . ..,. . ". '. . , ", ,. . . , '.. . PREf<ARtJ),~~y~;;,.:._.:..;;i/;;;..::.;::;:;.:.;..!t:~q.(::;:::~:.:::~~.;.::. . , .. ..' '. <. .. .". " ~ ~ . DA TE:I ~ ~ } Rt < 1 ,..\Mh".- ,Lfn.J,~h~~"Wl:"l' ... ;;l<;~.l,l,:.;t:ml :l.~l~kU, /.... ././ f)!VI.$I{:.iX' l)tE.Et::'l'OR AlirRO.vA.L:..........._.H~itJ~t;~4:<~~zi~~:;.;i~t~~~;:.~1~fi~ti;.;~5~ri~i11i:;~:~~.:~::.;f~;:1:.i:~i;,i@iiiIiii.i~l~K . ,', OMB FORM REVISED 1012812003 TO: DIVINA D. SPEER STOP #8 MONROE COUNTY INVENTORY DELETION REQUES1RECEIVED MAY 1 R 7005 I .: fROM: Louis Latorre PROPERTY CLERK.. FINANCE DEPT. DATE: May S. 200S I Social ServicC$ Direct2r rW~:'~:'~~:i~i~;:;~""r".w"'~~~~~~~'mnmT"_ww,,,-~ f)(S~~~~~~()N ~~'''--'~~r~~Ll:~i ~':::~ :':'~f"-~~:~~:~~~,\~~~~.~::, "'1 i...i.(;;T;...........................,...i.i;i:i..i.V:~:!'\1.f;R"H~:.:S;...I.Tii~j:;i'i::;.;j.;i.H;.i~;;.~;;j(;..:\~;;:;.;'i;i~; 'Si'~R l'j: ..j i' i'<j(~~' . [,p,6..:i.;o.....~;iJ~;;ii.. ...........~ : : il,'l PU': !: l !"------; ". T "'. ... .........!. ....... "l"":",::"""l . "..... ",' .:,' , " . i ..... .., , : ..,/ I.... ..... 1 ! : j . . '. 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L....................~.:...........................................................J............................................................................1....................................1...............................................:.::...1 CHECK OJ'l;F. { 1 ) APPROPRIATE LINE BELOW: APPROVAL TO ADVERTISE FOR BIOS. APPROVAl. TO REMOVE FROM INVENTORY AND DISPOSE OF IT. I APPROV At TO REMOVE FROM INVENTORY AND TRANSFER TO: Solid Waste Deoartmeot REASON FOR REOUEST: 1 Rej)lacini this II year old and 164.674 miI.,a,e bus with a new bus ..... ;'" PRl:::P.:\~VD ll):" .......,,:.:::.>""..,<.:..::::.......&.:/~:::~:':::,........... . DATE: May S. 2004 }~RlN .t.. N A;\-lh" .lsttt.t..hd.m.\:l.:.rH9.gNl.m~im:~.A4frwriAmWJ. ~-. /-~~, l m\1,ftlt{ DlRI1Cf01U\~PROVAL. ........f<i"+NA'iiS'~,'-~i:~ OMit I'ORM REVISED 1012&12003 RECEIVED MAY 2 3 2005 MONROE COUNTY "COMPUTER RELATED EQUIPMENT" BY;_ INVENTORY DELETION REQUEST TO: I DiviDa D. Speer - Stop #8 Property Clerk, Flaaace Dept. FROM: DATE: ~"nwwwM';(p:"r2ntnr?7r':?rn;;--0St~tmfin~\~I[tT::}:'"7n'..:.....:F.........'t)ftt~?..........r7EnOtigimii1i:;E"%Imp H2 U1-.4 5:?,.,...;. ~:'~!-?:';f':~......,................... .1.. ~::.: (?I:~:.~~.jlt:~,I~.. ~:~:~~.~.i. ::.Jo.~'. ... ............... .... L ~~~~:-~.::Y:::::.:.... ... ... .l..:;.~?:. ..:::!~~;:;~::~...w..........................; n:UiJ450 ((XU)! GD6F2 : C(lrllpaWr : tL'W/9S : S\,394,00;'$0 .: ~~~:;~E~::~~:~~;~~~I;;:,,~~ii~:j .:'."I"';~.. H.-.'.'...~.l "...lj.'I....'.1)... :.. r'F<'.';_ "l:'.' . ) , :.' 1'1 '.'1'1',...".): -,-.". i'.-'.'l ':',<'."" <'<p......"..'" :. . .~.. ~--) -~,(( - S. ~'-(/0 :i:;L:qtt)l'tH:$~jt ~ ~,' ,... i "1/ .(~l ~~,l .x"Sr ';::::~'-::C:::i~~~__ ..___.=t~:=~'~~:::] , . . . . . . c..................................-....-................:...............'............................................................................................... - . '. ~ '" .' '" .' -'. .' ::; ;: ~. . .............................................................................................................................":....................................................................~.................................................................................................................;: C:::":"t"-"I"""~~:TTJ::T.:==~I XAMAI CHECK ONE (1) APPROPRIATE LINE BELOW: APPROV AL TO ADVERTISE FOR BIDS. ~ APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. APPROV AL TO REMOVE FROM INVENTORY AND DONATE TO: ..:....................... Rf:MiDN.I!:m:,.HFlJUBn:.: .. .I~-~:~~~:~~~~:..:':':'. r~f:?~:::~~~tSE::~:::~~~;::~~~5~~:...r~~:?::~~r: : .. ............................................~.~.~..............................................................................................~.......................................................................... DIVISION DIRECTOR APPROV At: PRINT NAME: s~ - TECHNICAL SERVICES APPROVAL: PRINT NAME: O~1B fORM KfVI~co 1012112003 DATE: Dlvln. D. Speer - Stop #8 Property Clerk, Finance Dept. FROM: RECElV J-:.iJ MAY 1 0 1005 BY: MARY C PUBLIC DEFENDER'S OFFICE MONROE COUNTY INVENTORY DELETION REQUES To:1 Ill,~llll_""I"llm""lIJ111!r.lBl_i l..~:~~:::~~:=;';:.......,..,..__....... i.. ~~ ~.~.~.~.~ ..~.:::~....... ........,.... ...wl_~~.:,~~:~~:!:::.~:::........... ................w..."I...~::...:~:::..~~.~..,...."...... .:~:: .:::.:~::::~~:~:~?.. .... ..........; : {M04,fltiU ~ 5tJ(jKI f<l)9 ll:~l>:<\b;;;hjil<~ ~ <)':jlf\H ..........."..l...;~.~.::~.j~~:2~::~~~..................,.. ~....................................................'..............~ "'"",.......-.-...:...:._...,.....,........ ..........~.......:'..~~.....................................................-.........................,.,...,.,.~........................_..'-'- . . .. .. OWM.()t,l . 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'.'_'_ ~':'_ ............................................ ....nn~ ~1 ~'. ~ .............'.............. ....'..,...........,.,.....__.+~..._w.'..wm.'U....................,::................''..,...,.,....,.,...,.....,....."...'........................'.'........'["."."".'..'.......'....".........,............,i..~~................,...,.,.................'.'..................[ ..........................................1. .. ...................................................,. ..... ,....."....'m,.,.,.,.,..w.._m__............,.,.........,! "..................................."......~..,...,..........................,.........,....-....................J ~'" .' :: :. ~~ i~ ~[ ~: ..............................-..-.....,...........".......'............"""".. "....n"...........;.;.:.;.;.:._._._._...............:;...................................~..........."...................~.~.:.:.:.:.:.:.:.:...,...................~............,.............................................................:;...;.....................................;~..~;..._........_.....,: CHECK ONE (1) APPROPRIA IE LINE BELOW: APPRO V AL TO ADVERTISE FOR BIDS. XXXXXXXX APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT, APPROV Al TO REMOVE FROM INVENTORY AND TRANSFER TO: REASON FOR REOUEST: I Old-Obsolete-Beyond economical repair I ................................. .................. .....:.............. .... ...-....:.:. ':'.':' .............. ........ N.'.........-.....-.. ...... ......... ............., '.', '.'_'_'.'_'_'. .......... ........~.~.................................."".............~.~.~ .~.~.'.'.'.:.:.: .;.:.:.:...:.................................................:. ...............................- .- .- .- .-.-. . . . .. . ... ......... "', '.'_ ...............,...........".... DIVISION DlRECfOR APPROY AL: I PRINT NAME o~ ~-:>-4' ROSEMARY ENRIGHT' OMB FORM RfVISF.D JIl99 To:1 DATE: MONROE COUNTY I rRf~:.f:~:Er'l~r:;t)'1 t .. ..' INVENTORY DELETION REQUEST ! MX1 fl..~lcr(15. I FROM: .....::~A.,?~.J5.....$:.:.A~~~t{~:::::::::.:::=:..::..........::::=::-1 ------- l~~~;~~~~~"~ih~~;'~n:~-"f~~~(~ ~: '~'~~'~" "'~." i.. ..':. _ ~: ~..............................................................................~...............................................................................:;..~::;::........:::::.::.:......1:..................................................................:.:.:.:.:.:.:...:.:...:.:.::.::~:.:....:;:::::;.:.:.:.:.....:.:~.:-:-:.:.:.:.:.:...:.:.:.:.:.:.........:.:.................:.:.:.:.:~.:.:.:.:.:.:.:.....:.....:...:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.....:.....:N.:.:.:.:.:.:.......f: .~: .. .: f........;..,' :: ... ..............................~.~-~_._._...........,....._._._._....~ ........... ! .. ! i i -'''-''" CHECK ONE (1) APPROPRIATE LINE BELOW: APPROVAL TO ADVERTISE FOR BIDS. ~XXXXX'IH APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. I ",'HH APPROV Ai TO REMOVE FROM INVENTORY AND DONATE TO: ~"v..;'~',""""'.'"'''' ...... n...... ... .......... REASON FOR REQUEST: BROKEN .................................................................................................................................................................................... APPROVED BY: -;2.",." r f~"- ~""_~ATE: .~- f:(C'- PRINT NAME ROBERT STONE I DIVISION DIRECTOR APPROVAL: ~ p2J ~- PRINT NAME DENT PIERCE J/J~r OM" FORM REVISED 1012812003 RECEIVED MAY 1 3 2005 BY: TO: MONROE COUNTY "COMPUTER RELATED EQUIPMENT" INVENTORY DELETION REQUEST RFCEIYED MAY 0 52005 DATE: Divina D. Speer - Stop #8 Property Clerk. Finance Dept. FROM: KELLY PAPA GROWTH MANAGEMENT CHECK ONE (I) APPROPRIATE UNE BELOW; APPROV AL TO ADVERTISE FOR BIDS. APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. APPROV AL TO REMOVE FROM INVENTORY AND OONA TE TO: )L\)C\ ..........................._.~.................~ ............. . . .................---._.~.-..... '. . . .............. ...............~,..._._............ APPROVED BY: PRINT NAME: DATE: JOE P ASKALIK -.......: .;{/ DIVISION DIRECTOR APPROVAL: PRINT NAME:""" ';5~~~,-~!#V~!m . !~',;~~~/ft<AJL7i;A:,~, TECHNICAL SERVICES APPROV Ai: PRINT NAME OMB FORM REVISED 10/28/2003 TO: I DATE: MONROE COUNTY ~ 'CCEl INVENTORY DELETION REQUEST aA;, VED MAY 0 4 zuuJ Divbaa D. Speer - Stop 1M FROM: GEORGE KERLEY Property Clerk, FiII.Dee Dept. Emergency Communication Services -- , ....;.~:-r.~~<==lmm....~~mr;:r:~T~::::r 1 !41302j~1749ASY()Hl5. l.R:itdk! . 1.1JZ7f9j. '.$913.25l$0 r--_~~~m"!""'"'''''''~'~~'-'''~~~W''''''''''''''l'''''''''.............w...w.w,.....,',..,...'.,..........".,,__...........1...............................".."....1-____........,,........"..,..........,,~ j bO(t.Ol~ } Jl51431 .. ! VHFAlt~WllryR~~(tl\'t-'f 16f4NJ ! 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' " " -,". , ',,,~~,,,~,u~,,,,,"-""'~. ; t50{).,f137 I ua !~.l Ft A!1ff..'tm.'l TtWl(!f. .1 WVK7j $4,1~~5.0m$O ~.................................................................................f.'...-.'. "~'....'.'....~.........................................->, ........._...,.,.,._._._..._....~..........................~......~............................................................~..........,..................u.:.:.:.......-.:._. ..................................._.......................................... ~~~~f_ I"" -~~..-J~,~~:~~~tJ?!:41!w..mm_~~~-J ! 1501.13 t 1..218215 !nh"ttiphone ,. 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CHECK ONE m APPROPRIA IE LINE BELOW: I APPROV At TO ADVERTISE FOR BIDS. APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. I APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO: REASON FOR REOUEST: Mosdy broken - used for pIl1S - beyond economical repair . .'. .............................. ............................ ....... .'... ................................ .'.'.... .... .'.'.'.. .-.... ..'. ..'.'.'.'.'._.'.'.'.'.'.-...'..'u ._.'.'.'._.'.'.'.'.'...'..'.'r.'...'.'.'_.'.'.'.'. .'.'.'. """". .'.'.-.....-... .'...'~.r....___.____..r~r_rr..__.'__.-.-r..r... """'_'. .y...,........,..............................-......-............................................................................~.......................................,..y.......................................................................................................N...",..........'^"'^.....~........................................................",....H<#""..............,......oHoH..............I_....... APPROVED BY: ~ ~ DATE: PRINT N EOR E RL...... ) . .//,,J .of ,.... ,.' DIVISION DrRECTOR APPROVAL: .:../' PRINT NAME REGGIE ~S -'/ ,/ / ,/"~:-'4_-:l../ ~:~~. .....,..,L........:;>'........./..................,.,.........................,...,...' ... " '/ ~/.:... t.,. . ./ .... "i f) ...... OMS FORM REVISED Ic:v2II2OO) I MONROE COUNTY INVENTORY DELETION REQUEST TO: .J1tiJll<l]J, ..Sf*~~F..w'.:~!,m!>.~~m............. rrUHr.rty('lt'l'k~ .Fin~Uld> n(~pt; FROM: fRECJ;~ff'E15: I I I MA Y 2 3 700r; I \\Tally Ro~~r~ " I Fire Marshal BY~--=-""" I ... DATE: ~, ::t}.~\'92 C.tltCK VNJ31J) :\ffKUfl<lAJt lJNc UtLV\~ APPROVAL TO ADVERTISE FOR BIDS. ............,...", }ocuxr APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. APPROV AL TO REMOVE FROM INVENTORY AND DONATE TO: REASON FOR REQUeST: Broken - Beyond <<onomieal repair ....-...-.-.-............................~....~~ .............................................-......,.....,.....,.,................................-.-.-...................-... -...................-.-.-.-.-.-.................-.-...-..............,;...............................-.-..-.......... APPROVED BY: ~ ';;$ "" ~", ;J DA TE: ~ 11. l!> J.' PRINT/( E WALLY ROMERO " DIVISION DIRECTOR APPROVAL: ~ - PRINT NAME CLARK MA TIN OMB FORM RF.VISEO 10/2&.'20031 TO: I RECEIVED I MONROE COUNTY I M~ 23 INVENTORY DELETION REQUEST ~'~_: DiviDa D. Speer-Stop #8 FROM: Pckr Lubal Property Clerk., FiDaDte Dept. Emergency Medical Services DATE: RllHh) 1. ~:/lj/99 $SS4..J':i.;$U CHECK ONE (J) APPROPRIATE LINE BELOW: APPROV AL TO ADVERTISE FOR BIDS. 'xxuj( APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. APPROV At TO REMOVE FROM INVENTORY AND DONATE TO: .'.:..'......................................... ...............................................:......:.:.:.:.:.:..._._.......:.:.:..-,......~.: REASON FOR REOUEST: Beyond economical repairl DIVISION DIRECTOR APPROVAL: PRINT NAME ~ OMB FORM REVISED 10128120031 TO: [ DATE: MONROE COUNTY lRI'~ ~'/EDI INVENTORY DELETION REQUEST : ' .. ...~l :J I MAl ~'. 6 700S Dlviaa D. Speer - Stop #8 FROM: PETER LUBERrr Property Clerk, FiaaDce Dept. Emergency M~Serv~ m__ - ..-.-.....-...'.....___.....hU.............................. CHECK ONE (J) APPROPRIATE LINE BELOW:I APPROV At TO ADVERTISE fOR BIDS. -.XXXX....... APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. APPROV AL TO REMOVE FROM INVENTORY AND DONATE TO: REASON FOR REOUEST: DIVISION DIRECTOR APPROVAL: PRINT NAME a/o/tcyjJ CLARK MARTIN OMB FORM REVISED 101211.'2003 ~.'''''''';..........""w..til,.....;.,.____u,.'_"";,w.,,,. OFFICE OF THE SHERIFF MONROE COUNTY, FLORIDA STATEMENT FORM " ." i r . t i- r '. "'p.. ti'r ,~ , ~ ~ :1 .' NAME FIRST MIDDlE LAST CA' OF BIRTH . J . I YEA;' I MONTH I DAY I ADDRE88 STREET CITY STATE ZIP BUSINESS ADDRESSI...:;;:....,..w.".,"'_"',,___... STREET ..................................... ....-.. .................~......................._._-_.. ...........,..-......................................... CITY ................,-.-.-.....'..,-..........~...............'........N.:.:.:.:.:.:.:.,....._.................... STATE ZIPI TELEPHONES ~ ( HOME BUSINESS PLEASE f!RINT LEGlSL Y. OTHER ! 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