Item P4
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: September 21. 2005
Division: Monroe County
Bulk Item: Yes XX
No
Department: Fixed Asset Surolus
Staff Contact Person: Divina D. Sneer
AGENDA ITEM WORDING~ Approval to remove surplus equipment from inventory via disposal.
ITEM BACKGROUND: See attached schedule
PREVIOUS RELEVANT BOCC ACTION: N/A
CONTRACT/AGREEMENT CHANGES:
~ -
ST AFF RECOMMENDATIONS:
TOT AL COST:
N/A
IJUDGETED Yes I.. .
No
COST TO COUNTY:
N/A
SOURCE OF FUNDS:
N/A
REVENUE PRODUCING: Yes _ No _I AMOUNT PER MONTH,'_-==:-__ Year
APPROVED BY: County Atty _I OMBlPurchasing _ Risk Management _
DIVISION DIRECTOR APPROVAL:
.7(~ JlI~
(KEVIN MADOK, Assistant Finance Director)
DOCUMENT ATIUN:I
Included Yes
Not Required_I
DISPOSITIUN~
AGENDA ITEM #
Revised 2/05
8/31/2005
Board of County Commlsloner
September 21, 2005
SCHEDULE elF SURPLUS 1't1::M5
lTEM SACK(;iROUND
AMOUNT
BOC C ACT[ON
: Or1gfn aF E~l irl1:LLoo
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I 291".jj,)i-C'l'4 .Tape Q_~ck 8~03dcasl E~rren; :;-ej'oro ec~r.ol~ical r<:~air $a,3&~,QO S~',O() rl~(!l(M!' fr;)Ir~ i:l~'~rl~w", ;:};Id Ji:>pl)s~!
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I 3'1 14{:'1-~56 rC~kr Sto.t10'"l t:~.0~9,~cE'_'='.9.',"2i~_r~~lr SJ,5!j7 00 ~l),OO ;",rll(Jv~ 'ror;lln~'~;ljcr'.. <'1:1;.] ~j,~po~~
3~' i5~l5-[)9~'('~Il~r~l;r '._u-' '::e','ond econol'l!ca; repai' S 1 ,867,00 ~O,OO remG~'e ~~Or:1 i~~,~~tcr~' <ln~ i:ispo~i:
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350202-418 ;,-"LJD tle~'orld e~:llr;Om.(:"<l; r{!'[)~lr S 1, 11j6JJ'jl $0,00 remc:-~'e trom ~'r~e~tor-"i ~r.o~os~
'-35 G~03-r;;U-i4i'ii8'i MI~r[)~lrTl C;P..:ln~' '::-e~ond econorn,c.,.,: re[}~ir S2,SQ?..i!~J_~~0:9g~ r~D}C~~ f:m':lll\'.'~:lI~HY ;i:~:r IJi~pn~ -.
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I 38 C~02-451 I~CO:-n,~utE'r ,~",}'9.~_d ~~o~o~:Hal r~p'[;,ir ,~,6-2:5,(J0 $0,00 1~:ll'~~'U f.:om 1r!'.'E! II L.::,ni <Jr:r, LjISt;U~.
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r.: v~O:!-flVHO'J II CO,II'~I,Lf~r b~\fOrlrl !'lsonO!"Tl'C<J1 r~D?-1r S 1,3-35,00 1,0,00 re'nc~e from :r.'/CfIL0IY an~ ~I~po~e
42 ;:,202 594 (3913-3: CO;Tl~uter be','ond ~'Y!.i,C;Ol,I,r~'p_alf $1. t5o,jS $0,00 r~:1l0"e 1!u"l ir:~i3fllGr. ;Jr.!} oispcse
~ ~~ fi202-4 Ei ~;;!,L8W<l'{ en,,;~ II Lf:!'r bevond e COfl()'ll :c" I reD<l1 r i S 1, e97 ,OG $0 ,9..9_ .!..~.':!~0::::!! (]rll 'I','.'~ II k~ry i-llll ~ [ll ~PQ~~
,,~.~.L~j.o_q~29}'? _, ~~~~uer DC....O;lu ~cono~l:t:.dl I~~palr S 1.771:\,OG $O,()(l r~move fro'll ':r,'~_e_nt:}rj ~,r.c dispm(:
~f,i 0602-J18 (>;:~I[l;!rer.ce R!'lcorller be....ond econ{J!Tl:~1 repa,r .;.._,.~1}-~~_,?~ ,_ _~~:gQY~IlI~m'! Irm'll 'r,',!';~IOf): ~r.r, r;is[io:;.e ,
,~6' u604-06 3 ~t~ ~ bE:l~orl(11:"W"(lm I~i:ll rl:!'[)oll r S. 1,307,55 $O,aa r re move fJQ;TI",.!:::~ nt?l): 3'~.:?, ~~~p',,?~'::_.
--:fii67cI1:i?5-"2~~7;~ .;::li~i~Qfl'Pu\e'- i bO~'Ofl,j CCO'lQm!C~[):r S~L~50,(J(~ $O,U(] ! rf!ITIf)~'~ "om '"r'J!'lnLor>' ~rr;: dl~[Jo$e
_ ,:l.?lg_o_q~_}X:? u ~';_'!!!!J.:','::.~'r b~Ytltld ~m;l<:micMI lepHIr S1,775,OG $0,00 i ren1~"e fro'n I~""~lit~rl.' <'l1'C' uisPQs~ I
4'): 1)~(1(l-;i<, 1 ':;(lllll"'l,ter i be....-o,ld ecoflcmic31 rePilor S 1 ,2;05"J~ ,$O/Jg,,~~1~1l1~~'.'~' f:~l;lI nVi-~-:~i;)';y-;'-;o ri5r'(J'~~ -:
5(': 080a-52~ 1452 i ~ CQ!II~'L..tl'" _ ;,~_~~O.'d ~c_~':,!~'~LJ:.<J'r .-ST08~,',i',~ $O,l1o] 'r~ITIO~'~ [I'")m ,:r.,,~r.Lvr,' ~ro d!spo~e
i;'; ~ 09(li "ZG-::;' --' " m :~.:::'rrlf:'~i,;;r be'~-o'l.j eco-'cn1i(;~1 feD~,r S2:,96~;92 _~9:,9~.~~~IH)~'C f:(]~ll ,nvi:l'Lory ar',Ll dISP(JS{'~
_~f ~?_6_0_4__0_~,~ f.-l. ~ I !::I,i ;;'9 fnp<:Jq D; (#J~ I L 4UOO b~'fl:l' IJ eum~,III1(:;,J I r 8p<J' IS' ~ 1 L' 3,1 SO ,(),~, "r~ n1 OVi;! fro m 'nveNc.rv r; r,d c1i SDose
:-"l' QB(Ki-m.., vCR :be':iCl~j eco~~mic81 rep"rr! $., 163,5C, $O..X Irerr.q:~J~'?J.1,ir_\YE,c:~~rL~~~~_~~~~<;~
54 080'~ -.5'~ 7 VC P. ~ n'!..~"!2,]1 ic~1 ,~,p:;) ,r $ i ,1 85.':i~ :S'] ,,~:) rerr.l)V!'l fro::; m inYE?r,torl.' ;}r.d d's"Jcse
I--b_~~~~~__ 0;l1l',PLJ~E'!c be'f(Jnd eccnomicO!I 'epa:r $~ ,OBS,CO ~'J:~ Irerr-.o'.'.e rr9.!!U~~~I.-:.t?D~~~j_~:?~~_
% i09a ~ -<:10 1 (n;?~) COfT'DlI~e' beyonj eco n [lrr-ical ~ep1l1: $2,13!, :Xl sa,;)l) r ~Irom'p' [IT; rT1 in'.i;?ntor.. ;;rld (1: ~~~: 5e
5? ' ~ 1 () 2 -1 ~ Co (2256 Cc;n~pu~e( bev(J n d eco norr. iml :epa'r i 1, 130}, ~O $0,00 I r8'rr,Cl~C frc rn inventor '; 03:nd d;S;JCl SG
58: '801 15So ~o[T'Pu~e~ beyond economical 'e~~, _ ,.."Eg2_,_~~~ _ _~~"gg jr~~.D\f~ frem in\'~r-tof)' ;;nd d;~rc~~
59;33(J~-101;> (1/~f;) C0mDlI;e' bevanJ econoll'I(;::!1 'CO~:r $~,1::lG,;)~ $U,vl!.,Ju~rr.Dv-P. [rum in'.m'tor.. "nd d ~~l(1Se
60: 3300-1.:. 2. ( 1745) COfrPUW bow n ~.,-~-~-9. n_~~l: i~?I, I ~e."'! ,r _ $ i ,i1G."~C. S~-":[[f;rr,[Jvfl [r,}m in-o'f:!'r.Lorl.' ~nd d"~,~csP.
(:; 1 : ~ ~a';:::'-'J 11 R<l ~IU wi d~2Jn:::E'lr t)(;!'f(:; n{j ~~(}n{m~ i<~"' 'Ap<llr -$3,681 11'1. $(l,{i[) rerr-ov~ fro::; rr. inver-tor',' (lnd d: soc 5e
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62; ~ 'i(] ~-1 i'j 13 (2~:; n L~p~(m Co IT] f)L;L~r w3ter o~m",ae-3e€ re ~or1 $2,374, 00 ~C, ~~ rerr,OVl:l rrc III ir"lver:tor,' ~nd d-socse
63 I ~ 801-14 5 L::;p;o~ Co m Duter lo~t.see p.ol~_~Qg~_ _ $2,65 r ,{)(o _ Ji_~; pg, r~rr,o'.~I~rrl Irlv~r~(j u:~t~_~
64 !::401, 2n Base Sta~:)I) ,,~J9.:ni.l ~1?~~<1Ir -fi:7"a5,"D6 - - S,J,DD r~rr;~)"<~ frQm inv".r.turv ",nei d:~'J'~~~
_,~',~12+~_l,:~,::;},tL;lj.8rJ,\ 1,~I!rl~~ tJ~y.;}IIU 1;!(",.;}rIOIr',i\;t!1 r~~Ji;lir $1,533,00 W,GO remQ~e from inv~r.tor~' and d;~_~ose_
fi~12()':m-.u~7 IJ~I, Comp'JIi;f beyOnd' economical reoair $1.40' ,[)(,i $U,0[) r~rr.[)V~ rm-m invp-r.tor,' <,-no d..s;:;cse
fF :;?'GOCi-B?O Deli C()lnouter ___, tJ€lytnli ~~qn{)mi,~<tl T~p<l:r $1,298,[;0 $0,00 remm'c frcrn In'.~I~t()!y <;!.\c1 tl8W~~~'
Bo.rd of County Commlsloner I
SepbMnber21,200S
A.MOlJ NT B DC C ACTIO N
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MONROE COUNTY
INVENTORY DELETION REQUEST
.... ~ '
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TO:
DIVINA D, SPEER STOP 18
PROPERTY n.P.lllc: FINANCE DEPT,
FROM: Roy ~, DirecIor
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DATE: ~1.2005
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APPROVAL TO RBo<<>VE PROM INVENrORY AND 11tANSFER ro: _
REASON FOR REOUEST:
ABOVE ITEMS ~ NO LONGER IN USE. HAVE RPFN REPLACFD OR ARE IEYOND FnJNOMICAL REPAIll
ADI2Jl1ONAU. Y 1 rm~ ~ KEY WESr. LAST 41N MARA111llIl,
PREPARED BY: ~ dLd' ~ DA11!: :1/1lIItI
PRINT NAME: ~ n.sn; r;;r-;: _ \ _
DMSIONDIRECI'ORAI'PllOVAL: ~ - 9/2--~
PRINT NAME: DaIl Piacc
OYB FORUR!VJSID Ill"l~:!("'J
MONROE COUNTY
INVENTORY DELETION REQUEST
TO:
DIVlNA D. SPEER STOP II
Eccr M~1&..-:;mc.m, '5JF.!ru,n,~I!!
FROM: RDv ~ J'liftJdnr
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DATE: ~.....--. 1. ~
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~ APPROVAL TO ADVERTISE FOR BIDS,
APPROVAL TO REMOVE PROM INVENTURY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTURY AND TRANSFER TO:
J
REASON fOR ~r:
ABOVE ITEMS ~ NO LONGER. IN USE. HAVE RFFN RF.PI.Anm OR. ARE BEYOND ECONOMICAL REPAIR.
ADDfI'IONAlJ. Y 1 ~ ~ MAIlA~ AND LAST 2 AIlE III PLAHTA11llN IWY,
PREPARED BY: _ _ DATE: 09/112005
DIVISION7~:AmlOVAL ~~. 1/2-/ uS-
PRINT NAME: Deal Pirft:e / f
OUR FOI.M REV18ED 10/21I2lOO3
MONROE COUNTY
INVENTORY DELETION REQUEST
TO:
Fl{O\]: \'~c'K: \ "h !'-" II""
O ,~ ~('.' 0 nU'lc_
l,;f. F u
Hi ,'in~l [). Spl'l'r -:- S lop ~iX
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APPROVAL TO ADVERTISE FOR BIDS,
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APPROV AL TO REMOVE FROM INVENTORY AND OONATE TO:
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APPROVED BY: II rl/iJe?/t'~ DATE: 9. 2- 0
~ pr NAME VICKI Y AKLEVICH ~
DIVa::~m1CTORAPPROVAL:~~ . ' 'Q
~N DIF PRINT NAME LISA DRUCKEMILLER
OMB FORM REVISED 1012&12003
MONROE COUNTY I
INVENTORY DELETION REQUEST
SEP 0 1 2005
TO: I Divina D. Speer - Stop #8
Property CJc.~FiDance Dept.
DATE: ~, o~
I
FROM: JEAN BROHAUGH
!\l.c. Snial
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lUAA APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. I
APPROV AL TO REMOVE FROM INVENTORY AND DONATE TO:
REASON FOR REQUEST:
Broken - Beyond economical repair I
DIVISION DIRECTOR AFPROV AL: '-.----
PRINT NAME
-77? ) //"-
// /' //;/i \~~~/ L {L ILL- (/
LINDA STUART
OMB FORM REVISED 10128/2003
MONROE COUNTY
INVENTORY DELETION REQUEST
To:1
Divina D. Speer - Stop #8
Property Clerk, FinaDee Dept.
FROM: Vicki Yaklevich
DATE:
Serjal
Number
K _,.j .'\f~07n(1
A:!iset
D!scription
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RECEIVEDl
AUG t) 8 2005
BY:
I Date Original & F.st. I
Pu rch as cd Present Value
I ~""3""94 $lSUCI_OU."SO I
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APPROVAL TO ADVERTISE FOR BIDS.
APPROV At TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROV AL TO REMOVE FROM INVENTORY AND DONATE TO:
K.tA~ON fOR REOUEST:I
Mostly broken . beyond economical repair
--......
DNISION DIRECTOR APPROVAL:
PRIjIr NAMe
OMH FORM Rl:VISED 1012812003
TO:
DiviDa D. Speer - Stop #II
Property Clerk, Fiance Dept.
H{ 0 ,.1.
RECEIVED
AUG 0 8 2005
BY:
GEORGE RLEY j
EMERGENCY COMMUNICATIONS
MONROE COUNTY
INVENTURY DELETION REQUES
DA TE:
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OMD FORM REVISED 1012Il2OO3
AUG 2 6 2005
if < I ' ' . -, . .. r ., ·
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AUG 2 4 2005
lL~Y ~ -
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MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
To:1
FROM: I
DiviDa D. Speer - Stop #8
Property Clerk, FiDanee Dept.
DATE:
I Asset
I?e.scriptiqn
Pa(llT ~h redder
CiSCll Data \1odu Ie
lDate -, Original & Ese.
I I~u rCbaS!dJ P res en t Value
3/ 1 ~....{)(; I S 12(11 ,5U/SO
5/:!:'tJ0 5122'}.44....Sf)
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XXXXXI
APPROV AL TO ADVERTISE FOR BIDS,
APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROV AL TO REMOVE FROM INVENTORY AND DONATE TO:
REASON FOR REQUEST:
Broken - Beyond economicallrcp~;r
-----//
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.... ....,...
IJA ~""J Y K ot. /i.GE .... "~:I
J:1'JiC 'T{~ ~((vJ;iiif{i
LISA DRUCKEl'....111 J _F R
DIVISION DIRECTOR APPROVAL:
PRl'rr f"., A \11 '.:
TECHNICAL SERVICES APPROVAL:
OMR FORM RtVLSEU 10/2812003
{ ~ - --"-
. - {\/ I':l.)l
MONROE COUNTY I AUG J 2 2005 I
"COMPUTER RELATED EQUIPMENT"! I J Y:
--.!NVENTORY DELETION REQUEST
'I I
TO:
DiviDa D. Speer - Stop #8
Property Clerk, FiDance Dept.
FROM:
DATE:
Asset
l>escriptiun
l>ate
Purchssed
I Original & l':st. --- 1
rresen' \' :.tlue
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APPROV AL TO ADVERTISE FOR BIDS.
APPROV AL TO REMOVE FROM INVENTORY AND UlSPUSt. UI"' 11
APPROV AL TO REMOVE FROM INVENTORY AND DONATE TO:
REASUN tUR REUU~T;
Broken - Be~ond economical I q ',L I 1
~.
"
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DIVISION DIRECTOR APPROVAL: .
PRINT NAMe: n A!'-,;-"; \~ .Ift')ril,<\~CJ E
,t" -"" I I. .. ~
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OMR I'ORM REVISED 101'281'2003
MONROE COUNTY
"COMPUTER RELATED EOUIPMENT"
INVENTORY DELETION REQUEST
TO:
Divina D. Speer - Stop #8
Property Clerk, Finance Dept
FROM:
DATE
~'1.C. L Serial
~D. Number Number
0202-45] t ;.1-0 ! 9) IlJDhCC
~ Date idOriginlll & Est.
~ba~_e~ P~es_ent Value- _I
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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:
XXXXXI
1U:.,_~_:3P" FOP ~_HJlJEST:
Broken - Beyond economical repair
TECHNICAL SERVICES APPROVAL:
PRINT NAME:
-......
DIVISION DIRECTOR APPROV AL:
PRINT NAME:
;J
LISA DRUCKEMILLER
OMB fORM REVISED 10128/2003
.I'~ V ~
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MONROE COUNTY
~OMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
TO:
DlviDa D. Speer - Stop #8
Property Clerk, FinaDce Dept.
FROM:
DATE:
I
Dat~
It II rc h a Sit' d
;\-1.C
l.1l. :'\l umhcr
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~umbcr
Asset
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APPROVAL TO ADVERTISE FOR BIDS.
--
XXXXX APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPRO V AL TO REMOVE FROM INVENTORY AND DONATE TO:
REASON FOR REOUEST:
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OMB fOKM REVISED IOJ2lSi2UOJ
RECEIVED
AUG 1 1 2005
BY:
MONROE COUNTY
"COMPUTER RELATED EOUIPMENT"
INVENTORY DELETION REQUEST
\~,~ lr,\\ -\1_~.j,\
<:-" ",
>,-~,L\..~l~~ . \'\G.,W~
'G'"~ -O-s
TO:
Dh i_ua O. ."'ipl..'l;.~""lUp ;,;,,1( _
I'~'n~ll'rt:'r ( 'It'ri.:. J.'i II :mcl;' lh'pl.
FROM: Maria Guerra
DATE:
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1.-
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i ~t.lhd~('~ l
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l~~srrip~ ion
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I)~ue Orij!inal & F.~I;t.!
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APPROVAL TO ADVERTISE FOR BIDS.
APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND OONA TE TO:
XXAM
REASON FOR REOUEST;
Hroken
DIVISION DIRECTOR APPROVAL:
PRINT NAME:
r}~t \d~'1/c/(
THOMAS WILLI
p/)/\/t,~
l'~ l, C' .-...-1
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TECHNICAL SERVICES APPROVAL:
t'KIN! NAMt:.:
I .
.b'~ ,., ~."r
Ir,,'l V\\~. }AS"U. '.,
, --;/ .J 0
OMB FORM REVISED 10/28.'2003
!--1
i~' _~, 1 ) I
AUG 2 3 2005
MONROE COUNTY I
"COMPUTER RELATED EQUIPMENT" : J~~
INVENTORY DELETION REQUEST
TO:
l'i\ ina D. Spen - .....lup_~
p~.upl'"rt~. C1{,t'k, FLnann nepl.
FROM: SEAN LAMBERSON
]) \"I"E:
\l.c.
I.D. i\umhrr
-
Serini Asset
, _ _ ..'" u mhcr -L lll'scripti~_u
71 )..H '()ll[ _! l 11..:11 { '{llllrlLl~r
114UI. t llYr~
naIl" Orlg'n01J & Est.
__ _Purchased L-- Pr(''\~'n t Value
3: l f.1:llf~ I S l77.... III '''''in
1--
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T
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I
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xxxx
APPROV AI. TO ADVERTISE FOR BIDS.
APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROV AL TO REMOVE FROM INVENTORY AND DONATE TO:
r~L\~;';( l \: j ~ * I~ l \~U.:...'i I
1~: nkcll l \n' 'rl; Il.l'PI1,)mlC.L1 (~.p,nl
DIVISION DIRECTOR APPROVAL: 2- ~ 7 ~ ~;,~
PRINT NAME, ERVIN~~
TECHNICAL SERVICES APPROVAL: ~ =--.
PRINT NAME: LISA DRUCKMILLER
t-;)~-~
OMB FORM REVIS~D 10'28.12003
To:1
, --
MONROE COUNTY 1',1' \'. ~r)1
INVENTORY DELETION REQUEST I AUG 2 4 2005 I
. ~HY:_
Divina D. Speer - Stop #8 FROM: ISIS MAJEStA --~C - -. ---'--
Property Clerk, Finance Dept.
DATE:
I - 1\.1.('. I Serial
._ 1. _~!'j_um b~~ N urnbu
, f1r,o:::<, 1 q 03l) I:-lS
1-
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A...set
~es(' riptinn
t. nn l'l;;r~'llC~ ReL~-Jr(kT
J Date
_ Pnn:lw~.a:d
...(.'..l6:'Q6
Original ~ Est. I
I)rc-scot \" alue
..---- -
I
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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:
xxxxx
.....-
REASON FOR REOUEST:
Broken - Beyond economical Repair
DIVISION DIRECTOR APPROVAL:
PRINT NAME
ARY ANDEN RR~
OMB t'UKM REVISED 10/28/2003
rRI[(~I~~-I-V-~--
I -" -' r.. D I
II AUG'" A .~ IrR'EC:EJVF:D
I . fr 't 2005 I
I, . I AU G 0 1 2005
l\'10NROE~~n' ~-=- II
;.-CO\'lPLTER RF:LATED EQLIPJ\-t-OO' BY: -
r\VEXTOR Y [H:::LETIO\ REQI ~EST
To:1
_ ~i\-.jna D. Spt'l:r - Stop #R
Prnpert~' Clt'l"k. Fin allce Drpt.
FRO_I\-] : Mary Cintron, Office Manager
Public Defender's Office
DATE:
Serial
N u mhcr
Ass et
[)es cr i p ti~_1..i
r Dale
Pu rc h sse d
I fl..j....(W/%
I [H.C.
--.!. D. !\ill mhcr
q(l( )..1.-( )()_~
L
Original & Est.
Prescnt Value
~ l_:;((7..'i~ ;)It
I
l
7ZBVS lUAF~
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CHECK ONE (1) APPROPRIATE LINE BELOW:
APPROV AL TO ADVERTISE FOR BIDS.
XXXXX APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. I
APPROV AL TO REMOVE FROM INVENTORY AND DONATE r 0:
REASON fOR REQUEST:
Old - Obsolete - No longer in use
/\PPRCl\TD BY: j\\ L~1,.-:;; L. 'I A. '\. ,~-uv.~
pf,: i\,j.: ",. ,\\1l: r\..lA R Cl :-\TH 01'\
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DIV T~ l O;\; l) I RECTOR A P P [{OV A L: U'--. ' ... pi. .../..
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l'fH:-..i'f ~_" \11.:: ~f\'l).'~:N""TASSFL
<" ,.i )- ~;dt
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OMB FORM REVISED 10/2&'20031
AuG 2 .2 laos
lVIO:\"ROE COl~NTY
;~(,Oi\'l PllTER RELATED EQtJ I J)t\lE~T"
lNV ENTOR'\"' DELltTiON REQl.iEST
TO: I DiviDa D. Speer - Stop #8 >\:)HSJ FROM: _lo~:cc GnnllL ornec i'\iliin~~~_
Property Clerk, FiDaDee Dept. SLlPL'fVisl1!' () r- tla:(Jon
DATE:
I\'I.C.
I.D. Number
Serial
~ umher
L:sn] 9l 32M
I Asset
_ _~ Des c!1.ption
~~ r C\JnlplltCI'
Date I.
Purchased
.1 (l....]t;..;~.'n
Origin:lI & E.st.
Present Value
S2~)f) O( ):.sn
07fl] -225 (2.(lT7.}
i-
---+
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L_
1
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CHE~K U\L~I~f{(lPR1pI.Tl~ ._1 \i]-<.ltt--:.l.~).\\'~.
APPROV AL TO ADVERTISE FOR BIDS.
XXX APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROV AL TO REMOVE FROM INVENTORY AND DONATE TO:
R Ll\tX"'; Fll.F. R.L(JL Il: ~ I
l.h0h'1; I'kvor_d t(on(lmi(~<ll r~ral[
APPROVEDBY~_- ~f /" DATE: <6 -\Io-DS
PRINn~\lI~~~ , ( ~ l :,
DIVlS10t\ DIR[ClO!~-~ROVAL. <:.--:rJ ~.. ,'/ pL. ~:z.-/. .. --- I
PRlNTNAME'1 ../,ARR\iSAINR /\ /
TECHNICAL SERVICES APPROVAL: L1iuiJ,i\),tJ/JfJ-.2/;-1
PRINllNAME: 1 JSA DRUC K MILL '
OMR FORM REVISED 10/28./2003
(_JLU {li~~ ~}/, ~~ ,--lr)
~~~ ~~C,-'Lhll
G-\\-QS
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
To:1
Divina D. Speer - Stop #8
Property Clerk, FinaDee Dept.
FROM:
DATE:
-
M.C.
1.0. Number
osuo-:, 7~
f V)~ j l-2()n D99h8
Co 1l1f1 u ler
2....19/%
-
Original & Est.
Presf.:nt Vatuf-
.'ii I n~_()n...st.l
! S 1 Jtl5 .O()/SO
S] O~S,n(l."sn
52 %3. OOiSO J
S ! L) 12.3(~""~() _
Serial
Number
9h3SY
.I. ----
Asset
Desc ri pt i on
I Date
I Purchased
I 6:' j B/()7
_11/27i(){)
4i7iOfj
Computer
OSUO-)25(452l)
ITJEF
C umpult:r
1 .,
(. om pUler
n~q)O-5~ l
GJQL\N
;-
26n4-U2 5 (.:1.S l C)) l1a
Compaq Pro [ianl 4UUfJ
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CHECK ONE (1) APPROPRIATE LINE BELOW:
APPROVAL TO ADVERTISE FOR BIDS.
APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROV AL TO REMOVE FROM INVENTORY AND DONATE TO:
....
U b"l S()~ J:\* ~LQEl.Sl.:.
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'1 .
DIVlSIO:--J DIR1~CTOR APPROVAL
I' R 1:-".1 ",\:'-1 r..
.,
to... .....--.
TECHNlCAL SERVICES APPROVAL:
--
DEBBfF FREDERJCK
. G~/
I -.
, /.
1_../ .-.
TASSEL
J 1..
OMB FORM REVISED 10/28120031
MONROE COt:~TY
I NVENTORY DELETION REQUEST
BY:
TO:
FROM: I ~~idL Yakl~nch
nh'in_~_l D. Speer - Stop #8
Property Clerk, Finance De-pt.
DATE
~[\-] .c.
--.!:Q ~_ ~ u m l?c_ r
00UO-:"U5
A~S.('E
I)cse ri pti 0 T1
P<in,~SC'[Lic ve R
, Date
I Purchased
i .,' .~l on.
I .. - - ')
St'rial
Number
B97C0075C1
I C\l7COO 347
I
()~O()-5( 17
PamlsmlOC Vel\.
7.-:' L:qq
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~
APPKO~ AL TO ADVERTISE FORIBIDS
APPROVAL ~O REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL ~O REMOVE FROM INVENTORY AND DONATE TO:
REASON FOR REQUEST:
__ Broken - beyond economical repair
~~)I -
APPROVED BY: flnr/n-YOl
rll{fN~"\~(,]-1
D. IF::
DNISION DIRECTOR APPROVAL:
PRINT NAME
i
I
\
OMB FORM REVISED 10/28/2003
(r~E(~-EIVEI5r
II AUG () 8 2005 1
. 1
Iny. 1
~ ' - . - ==----=-=...1
Original & Est.
Prescot Value
S II (l.'. ~()....)o
S l16).09....50
-I
I
i
II J <J~..(__' F~ I'
I
1 AUG 0 3 'O"'~
j -
[BY:._-=-= _
MONROE COUNTY
"CQMPUTER RELATED E9UIPMENT"
INVENTORY DELETION REQUEST
RECEIVED
.UG 0 3 2005
BY:
TO: I
DATE:
DiYiaa D. Speer - Stop ".
Property (]en, r..ace Dept.
M.C. Ser.al
l. U. Number Number
OXOO~52() 11 T3EG
i
,
~. - ---
.--- .r
L-
L__
FROM. Maria Guerra
As.."ld
Des c ri lion
Dell Computer
Date 1- -- Origin.ai &: -Est. I
P~I_rchased ~. _ rr~~n~Yalu~~
4/7 loa : $1,085.00/$0
- - ~.-
CHECK ONE (I) APPROPRIA IE LINE BELOW:
APPROVAL TO ADVERTISE FOR BIDS.
XXXXXX APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
RE.-~~n~_LQRgf:_QU~.SI:
Beyond econom..ica1 repair
---.-- -
TECHNlCALISEIlVICES APPRO\' AL:
PRINT NAME:
Ot.lB FORM REVIlED lomr.lOO3
rI/'1 J l'C;-
,/ ~ J
f I
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
~
JLC\-c:... Uti \
-C-;."- cJ, <S,l~ll~~'~-~ I
.
~ CC~~'-
Q . Or--
-~- ~- I:::>
TO:
Divina D. Speer - Stop #~
Propert)' Clerk, Finance nepL
FROM: Maria Guerra
DATE: I
~'1.c. SCrLal ~ Ass et I)a te Original & Est.
I
I.D. Number Number Description r II rc hased Present Value
I 0903-90 i (131-4) G4~ L T CO~llplltC'r I C;i~ 7....~d S~ 13 [.00,'$0
..
1102-11.)0 (2256) ~112HTO 1 : Computer y/j/O 1 I S 1 1 JO,OO....SO
,
B01-l~9 .~..t 7Al1 I Computer 4/] H/()O S 1f):2. flO:'Sll
3300-142 ',' ,'~:, ]. 72CWD 1 I C L1llLpLllcr q....19iOl 1 S 1130_uO/$O I
--. 1
3300-143 : . }- rJ ; G62CWO] I Computer 9/ ] 9:'() 1 S 1 ! :'0.00/50 I
--
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--
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l .11 H. J\. f.2.'.:..t...l...!.L\l'IJ I{(l!:~~~.ill-l \it~ H ~.l.l )\\~
APPROVAL TO ADVERTISE FOR BIDS.
XXXX?' I APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
!3:E/\~.f'S. F:'.~)~_R.J:.m_X~T~
TIre ki;'~l P.~Y(llX:\ Ec(}n <1m i C:i I R cr::J r
(- --. '. j / !-
DIVISION DIRECTOR APPROV AL:"f.__. L,,>-:Jj/ll cLO) ..(~_:.
PRINT NAME: THO S LI
/'
i/I-V(~I \
(,/ L. ~
, ,
TECHNICAL SERVICES APPROVAL:
PRINT NAME: JIM
OM8 FORM REVISED 1012&/2003
RECEIVED
AUG 0 9 7005
BY:
MONROE COUNTY
INVENTORY DELETION REQUEST
TO: DiviDa D. Speer - Stop #8
Property Clerk, FinaDee Dept.
FROM: Stacy Devane
Public Safety 1-------'
DATE:
M.C.
I.D. Number
l 500-0 l ]
Serial
i'<l umber
_) 7c\AG :\004g
- --- - --. - .
Asset Date
D esc ri tion Pu rc h ased
Radio wichart',r.::r
7/YP.
Origin al & Est.
Pr(!Sent V alu e
$3681,l ~....so
_!
CJ !ECf.;;, O~E : I) -\ PPROPRL-\X.r, TT:~..F. ~F~I t!W_
xxxxx
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:
!J...!:,:\SQ~U:QB.J~Jm I F-~J.
OlJ - IJb~nkt.: 110 I"Jlf.:;'! i~l m{:
.j
, / .
./ .I /.
/
i
DIVrSl0l< DIRECTOR APPROVAL: /< ..f." '"---
l'RL~l ',j'\M~--. -- RFG6 IF. P A ROS
.//"
/
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,:~ /
OMD FORM REVISED 10128120031
lHOdH \~ NOHl \I ~W V\~ \.
. I
11"""110-.,
91Q .1.',..'
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'''' . '" " ......",...", I
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TO:I
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Lb U'{") \..~/~\) ~1[lU.'l..l',-~~
MONROE COUNTY (-"'~~-(~-' ~t - .~ -OS
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
Divina D. Speer - Stop #8
Property Clerk, FinaDee Dept.
DATE:
In. \1.C.
l.n. ~ u mhcr
1 SD5-1 M; {~J37) I (iCr::P7
--I
.___ _I-
I
-.- .- -- . - .1""
Serial
Numbt'T
FlUJ!"l, Maria Guerra
ASliet
De:scri tion
Date
I Pu rchascd
L~ptup Computer
5..']:] ....n()
OrjginaJ & Est.
PrcseuC Value
S:!,J 7-l.0n.:)U
.1
I
-.1
CHECK ONE (I) APPROPRIA IE 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 OONATE TO:
xxxxx
---....
j\L~ SilE..r.: r.J JU~[Ql.J:::SJ_
\ \.' ,1 k I d:ln1..; !!;_~j ,C(' ~ n ~'.. k d i 11 ( It klH TqX~~1
DIVISION DIRECTOR APPRO\.";\[_.;
P]~ I;.,T ~/I.M t:.
"[TC!fNJCAL SERV[ClS APPROVAL:
['1-: I~: r .... ,\'\1 F
OMR FORM REVISEO 10128/2003
./ . ,.. I
.n (Of\.lAS Vv'JLLJ
....1 (2( .i: ./ G?'
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,
-.l~~. ~f~ C.:=-\-~ij~~J5'l :-=-~ _ MONROE COUNTY "- '=='~_ ~-- = ij
. ...... ~ ~~ ~ ~_iiiiii ..:...:. ..:. ~~ :,:::::::~--::-::-=--::- = -
I. ~.JG 1 1 IGG~ .." REPORT OF INCIDENT
. I
~ ~ ~ =-..=----'--'-- =- ~ ~ :....=..: r:
\l!\'.> --_:--~:---~~--- -,- - ~ FAX IMMEDIATELY
WORKERS COMP at 211 tJ01 (If ...plorN ...,) OR
RISK MANAGEMENT at 211.342 (property -...- or velllcle)
FAXED FROII: NU.BER:
o EmployM injury
D Vehicle Accident
00 Other I
WHO:
WHEN: DATE U - 03-0
MOl DAY! YR
WHY: DESCRIBE ACCIDENT
I
-"D
MEotCAL ATTENTION REQUIRE.D: 0 ~
YES NO
" PeniionaJ PMpetty Damage Of' hljury to tIM Public:
Name of Owner.
Address:
Pilooe #:
FILL OUT ACCIDENT INVESTIGATION REPORT AND NOTICE OF iNJURY.(4 part form) nf employAl!
injury) AND SEND TO YOUR DEPARTMENT HEAD FOR COMMENTS AND SlGNATlJRES
cc: [)EP AATJ.I1 ENT HEAD '1/ ia. FAX
~RCII': WJ!(f\' ~ ~ 1.:jEl u;>tlA.tI;o 1(1hl
?pcQ
r:Y~
,,~
MONROE COUNTY
"COMPUTER RELATED EOUIPMENT"
INVENTORY DELETION REQUEST iRFf:EIV:-::n
AUG 1 1 ?'i05
Divina Speer FROM Louis LaTorre I ~y;_
-=-
PROPERTY CLERK, FINANCE DEPT I
DATE: July 20,2005
Social Services Director
M.C SERJAL
1.1)_ '\i 1..1 \1 RF:R N LM HER
Old I.]), {1 \VDZNS
nO! -l45
i"~SET ] fM.TE I on.rCINAL & FS.I_
[)(SCRWr 10_'1 Pll RCHAS r. f) I'RESEI'iT V A IX E
- .. -- 1.- -.-
Dell Laptop Compll tcr Model 07....21 ....t)t) S2(,57,00 ' SO
CPJAJOOS T
I
- [
I
~
CHECK ONE (I) APPROPRIATE LINE BELOW:
APPROV AL TO ADVERTISE FOR BIDS.
X APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
- -
APPRO V AL TO REMOVE FROM INVENTORY AND TRANSFER TO:
REASON FOR REOUEST:
Laptop computer was missing after an extended length of time of nonuse, Tbe computer's disappearance was reported to the I
police department attached is their report. Since the equipment has no fair market value associated with it and the chance of it
reappearmg IS remote 1t 15 r~<:'-'mm~ndC",j that the piece of equipment be removed from the C'..ounty's inventory. I
PREPARED BY' Jerry ESkew ~ulY ~o. ~oos
- - ~
DIVISION DIRECfOR APPROVAL: ~
P~N~ ~~
TECHNICAL SERVICES APPROVAL: _. - - - - - -
PRINT N: V .SSEL
OMS FORM REVISED 1012812003
KE'1" Wr:.::;l POUCE DEF'AFrT"MENT
I ~~f>(lA T SIC;N.o.L. ~., '- "-
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Change Supplement . 0002 / ORIGIRAL RlPORT 1-05-005239
Date Reported, . . . 5/17/05 OFFN
Reported by' . . . 0000002458 CUNEO, E.
Kntered by . . . . 0000002458 CUNEO, E.
Line' Narrative Data &ntry
01 AT APPROX 0910 ON 5/17/05, orc CUNEO AND I WERE DISPATCHED TO 1100
02 SIMONTON ST (GATO BUILDING) IN REFERENCE TO A LOST LAPTOP COMPUTER.
03 UPON ARRIVAL, WE MET WITH SYLVIA ATWELL (RIP). ATWELL STATED THAT
04 DURING AN EQUIPMENT INVENTORY THE COMPUTER (SEE PROPERTY SECTION) WAS :
05 MISSING. ATWELL STATED THAT THE COUNTY COULD NOT TELL WHEN OR WHERE
06 THE COMPUTER WAS LOST, BUT NEEDED TO MAKE A REPORT FOR INSURANCE
07 PURPOSES. ATWELL WAS GIVEN A CASE NUMBER.
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To:1
DiviDa D. Speer - Stop #8
Property Clerk, Finance Dept.
FROM:
REC~:tV~-:D I
AUG 1 5 2005
BY:
MONROE COUNTY
INVENTORY DELETION REQUEST
DA TE:
I M.{~.::l-- .Scrhtr
I 2 :~.:~ ~ ::~ ~ mber 1l U 0 ~~~ Number
2.:10 l-ll)~;' j,. ,.. I. SL,;SllBn450 14-
-.Date J Original & Est.
PUl"ch ased. Prescnt VaJue
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CHECK ONE n) APPROPRIATE LINE BELOW:
APPROV AL 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:
Broken - Beyond economical repair
--./.~--- ~.
DIVISION DIRECTOR APPROVAL:
PRINTNAMt1
S'-. ,". ~~I ~ ~~~
OMB FORM REVISED 10128120031
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MONROE COUNTY
"COMPUTER RELATED EOUIPMENT"
INVENTORY DELETION REQUEST
To:1
Dh'ina o. Speer - Stop "81
Proper-'y Cl~Tk, Fina 11 c(' I)(Opt.
FROM: GARY MANFRE
TECHNICAL SERVICES
DATE:
Origmal & Est.
Present Value
M.C Scdal A!isct
1.0. ~ umber l Number I I)csc rJ ption
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APPRO V At TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROV At TO REMOVE FROM INVENTORY AND DONATE TO:
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D[VJSIO~ DIRECTOR AP(}l~OV..\ l_: ___~". . _ _ i .
f'R I\.T ~:\M F: TJ-lOf\1AS \V lL [_I
TECHNlCAL SERVICES APPROVAL: CJ.-1), / j ~ ~
PRINTNAME:~~
-S!J/O J
OMB FORM REVISED 10,'2&/20031
MONROE COUNTY
'WMP1lfER ULA TED EQUIPMENT
INVENTORY DELETION REQUEST
L~~ \)v\ ~ch &3UJ;.:!u)
D\G,~,~ 't - \LD-Oc;
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!ByAUG 2 2 7005
TO:
Diviaa D. Speer - Step III
Property am, F'iIwIce Dept.
FROM:
DATE:
~t.
l~=-N~mbfr
. 2600-892 4S3PI
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Seri:lll
Number
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. Desr ri.ption
, Compu ter
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APPROVAL TO ADVERTISE FOR BIDS,
jo.:xxxx ,,-- APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
RF.:\SQ~ FOR REQl!_E~T
B rok-ell - U ~ for parts
DMSION DIRECTOR APPROVAL:
PfHNlNAME:
TECHNICAL SERVICES APPROV AL:I
PRINT NAME~
OUR FORM REVISED 10l'lll2003
~\.Q.. ~I\\. ~(c\\ ~ CI'illllli.)
~U\:-L~,t,-- ~ - \ C:~. OS
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
"---1 ::;. T ----.;--.-:--~-=- T \:.~--:- r---~
" ".r-~- \. ! ~ t ': ~AI. ./
AUG 2 2 2005
[BY: =--_
TO:
Divina D. Speer - Stop #8
Property Clerk, FinaDee Dept.
FROM: Maria Guerra
Technical Services
DATE:
Asset
Description
C ompLltC'1'
- Date I Original & .~
Pu rc h ascd Prescn t _ya l ue !
{).: I S:'O 1 s.! ] 30_00.:) 1.1
i _ __ M.C. \ Serial
~'. Number 1 Numher
26~9 (2(M!-O~()) I 34\ 1.T01_
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XXXX APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE Of IT.I
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
IZf: . \ .;;; 0-""; F~, :l.~..B.EQi,...T S J .
Br,-'J...:~n {.' ~<:J ill, p<lrl~
DIVISION DIRECTOR APPROVAL:
PRINT NAME:
(l/I Ci' i D r;
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TECHNICAL SERVICES APPROVAL:
PRINT NAME:
.;J!"'"
t/II'J 7.A~~~,-
OMS FORM REVISED 10/28/2003
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,
.~/\ ~~~'t-l~-OC;
~UG 2 4 1.00S \
I
cc-~J MONROE COUNTY
"COMl!!IER RELATED WUIPMENT"
INVENTORY DELETION REQUEST
TO:
Diviaa D. Speer - Step ..
Property Clerk, FiIIuce Dept.
fROM: MARIA GUERRA
DATE:
,- ~ M.C. ~. Mri.J r- ..\SSfl- -r- DaU:-- 1 Original & Esi. ~
l-tDo Nn~htr . J l\um_Mr __ _ J)rs('riplion __ l PUr~hA!~L_ rrts~nl Valuf I
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APPROVAL TO ADVERTISE FOR BIDS.
APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
~....,
PE,.l.,S( I'! H)B. PD)l T_~.)"
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TECHNICAL SERVICES APPROVAL: j_ -.~ I ,-_. ;\.. ~/~~'__.r~_i_1 ~
]'!lTN~t N:\Ml"' t.1~X DRlJ~KL~1ILLER
OMB FORM REVlSF.D 1012Il2OO3
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f\JONROE COlJNTV
INVENTORY DELETION REQUEST
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AUr: 1 6 ZD05
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Dl_vlna ~: Sllt'er - Stop #R _
Propert): Clerk, "'in~1 n rt Depf.
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TO:
1.I;.~~~be~ I
S erlal
Number
As set
llestrintion
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CHECK ONE (1 ) APPROPRIATE LINE BELOW:
APPROV AL 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 REQUl::ST:
l?I"<}~~~l b~y,l[IJ 1:1:0Iwnll~:J.l rcp:lLJ
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APPROVED BY: '-- \,L - "--:~<- DATE: ~, 10 .oS-
PRINT NAME JOliNKiNG
~H~
DIVISION DIRECTOR APPROVAL:
PRINT NAME
~'}'O~
OMB FORM REVISEO 10/28.120031
'y- t1 Lli(. ~. -':>
'~L(\~ 'z - ~C; .Oc:;>
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
TO:
DiviDa D. Speer - Stop #8
Property Clerk, Finance Dept.
F RO'.I: MARlA GUERRA
DA TE:
'I.C. i
;
l.f). :"\ umber
Serial
:Xumhcr
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APPROVAL TO ADVERTISE FOR BIDS.
XXXX APPROVAL TO REMOVE FROM INVENTORY AND UlSfUSt. Ut 1 J .
APPROVAL TO REMOVh "RUM IN V t:.N 1 UK Y ANU lJUNATh J U.
ru::.A::>UN "UK REOUEST:
Broken - Beyond economical repair
DMSION DIRECTOR APPROVAL:
i.11 " I ".\ \ 1 e:.
.. ..---.-- .-..
lH'HillF. FIU:])l.IHCJ..:.
TECHNICAL SERVICES APPROVAL:
PRINT NAME:
----Ir....-- _ _ _ .. ....
~ !:--. \ [) I-U n":'l ...., l! r :: ~\
~ -~S
os
OMB FORM REVISFD IOi'28/2003
,_ , I
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
TO:
Divina D. Speer - Stop #8
Property Clerk, Finance Dept.
FROM:
DATE:
i\U '. I S{'rial
I.D. ~umhl'r !\umbcr
A SSl'e
Dcs('.![P1 ion
])ate
I~u rt'hased
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CHECK ONE (1 ) APPROPRIATE LINE BELOW:
xX-xxx
APPROV AL TO ADVERTISE FOR BIDS.
APPROV AL TO REMOVE "'RUM IN V EN IUR Y ANU Ul~t'U~~ UI' J J ,
APPROV AL TO REMOVE FROM INVENTORY AND DONATE TO:
Origini'l & Est.
PresrnT V nJue'
....,: :-O:.H' "IIi .......
REASON FOR REQUEST:
11,ok..'11 j \,. ~ 11[1;.i ~,; 'II' '11.,1,',11 r<,:p':.i:I
DIVISION DIRECTOR APPROVAL:
PRINT NAME:
TECHNICAL SERVICES APPROVAL:
PRINT NAME:
OMIl FORM REVISFO IW21l/2003
~ \..rv\ \JLU"\ '~,-^-^-,-,- \..--J
~ -"~O- Os ""CL~.
MONROE COUNTY
Lot '( )\t Pl-TER I~FI ,"-:\ TEn EQI.I Pi\l ENT'.
INVENTORY DELETION REQUE:St'
TO:
Divina D. Speer - Stop #8
_ Property Clerk, FinlDte Dept.
FROM:
DATE:
\I.{'.
I. u. l'\ umh~r
SC'ria I
~umh~r
W'YD()i 11
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APPROVAL 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:
f. __ .. I.. I I ~"' I.... I.,
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OMB FORM REVISEO 10128/2003