Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Item C14
Illj'-'f'-{ BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: March 19. 20. 2002 Bulk Item: YES XXX NO Division: Monroe County Department: Fixed Asset Surplus AGENDA ITEM WORDING: Approval to remove surplus equipment from inventory via advertising for bid, removal and disposal. ITEM BACKGROUND: See attached schedule PREVIOUS RELEVANT ROCC ACTION: N/A STAFF RECOMMENDATION: TOTAL COST: N/A BUDGETED: Yes_ No Cost to County: N/A REVENUE PRODUCING: Yes No Clerk AMOUNT PER MTH YEAR Cheeked d~~. (tf!J!j~" co = Division Director Approval: SANDRA CARLILE. Finance Director ~ DOCUMENTATION: Included YES To Follow Not Required (2/4 DISPOSITION: Agenda Item: Monday. March 03. 2003 Board of County Commisioner March 19,20,2003 SCHEDULE OF SURPLUS ITEMS ITEM BACKGROUND AMOUNT BOCC ACTION Original Estimated County ID # Descriotion Value Present Value need aooroval to- 1 3200-218 1976 Ford Tanker Fire Apparatus beyond economical repair $90,408.29 $2,500.00 advertise for bids 2 1439-005 1969 Ford Fire EnQine beyond economical repair $52,128.75 $1,000.00 advertise for bids 3 1438-059 1974 Chev Rescue Truck beyond economical reoair $20,000.00 $1,500.00 advertise for bids 4 1102-173 Dell Computer old-obsolete-already replaced $1,371.00 $5.00 advertise for bids 5 0400-1043 Dell Computer beyond economical repair $1,008.00 $0.00 remove & dispose 6 0400-975 Dell Computer beyond economical repair $1,752.00 $0.00 remove & dispose 7 0400-971 Dell Computer beyond economical repair $1,752.00 $0.00 remove & dispose 8 0400-1022 Dell Computer beyond economical repair $1,487.00 $0.00 remove & dispose 9 0400-942 Dell Computer beyond economical repair $1,595.00 $0.00 remove & disoose 10 0400-967 Dell Computer bevond economical repair $1,752.00 $0.00 remove & disoose 11 0400-1 067 Dell Computer beyond economical repair $879.00 $0.00 remove & dispose 12 0400-943 Dell Computer beyond economical repair $1,595.00 $0.00 remoye & dispose 13 0400-1047 Dell Computer beyond economical repair $1,008.00 $0.00 remoye & disoose 14 0400-974 Dell Computer beyond economical repair $1,752.00 $0.00 remoye & dispose 15 0400-964 Dell Computer beyond economical repair $1,728.00 $0.00 remoye & dispose 16 0400-1021 Dell Computer beyond economical repair $1,459.00 $0.00 remove & dispose 17 0400-962 Dell Computer beyond economical reoair $1,728.00 $0.00 remoye & dispose 18 0400-1 046 Dell Computer beyond economical repair $1,008.00 $0.00 remoye & dispose 19 0400-1041 Dell Computer beyond economical repair $1,008.00 $0.00 remoye & disoose 20 0400-985 Dell Computer beyond economical repair $2,247.00 $0.00 remoye & dispose 21 0400-1 020 Dell Computer beyond economical repair $1,459.00 $0.00 remoye & dispose 22 0400-1079 Dell Computer bevond economical repair $1,752.00 $0.00 remove & disoose 23 0400-966 Dell Computer beyond economical repair $1,752.00 $0.00 remove & dispose 24 0400-989 Dell Computer beyond economical repair $1,728.00 $0.00 remove & dispose 25 0400-1063 Catalyst Switch beyond economical reoair $10,154.00 $0.00 remove & trade 26 0701-208 Compaq Computer old-not state compliance $2,536.14 $0.00 remove & disoose 27 0803-087 Dell Computer beyond economical repair $2,052.00 $0.00 remoye & disoose 28 0977-144 Dell Computer beyond economical repair $2,617.00 $0.00 remove & dispose 29 0977-146 Dell Computer beyond economical reoair $2,151.00 $0.00 remove & dispose 30 1001-517 Dell Computer beyond economical repair $3,100.00 $0.00 remove & disoose 31 3200-045 Treadle beyond economical repair $2,790.75 $0.00 remove & dispose 32 3200-058 Fax Machine beyond economical repair $940.00 $0.00 remove & dispose 33 3200-064 UPS beyond economical repair $1,200.00 $0.00 remove & dispose 34 3200-068 Toll Booth Computer beyond economical repair $8,000.00 $0.00 remove & disoose 35 3200-069 Toll Booth Computer beyond economical repair $8,000.00 $0.00 remove & dispose 36 3200-071 Receipt Printer beyond economical repair $1,200.00 $0.00 remove & dispose 37 3200-087 Echo Generator bevond economical repair $995.00 $0.00 remove & disoose 38 1412-022 Medic Portable beyond economical repair $2,488.81 $0.00 remove & dispose 39 1412-026 Medic Portable beyond economical repair $2,488.81 $0.00 remove & dispose 40 1413-040 Computer bevond economical repair $1,634.00 $0.00 remove & disoose 41 1413-041 Computer bevond economical repair $1,358.00 $0.00 remove & dispose 42 1426-027 Dixie Thumper beyond economical repair $3,293.00 $0.00 remove & dispose 43 1426-065 Battery Support System beyond economical repair $1,210.44 $0.00 remove & dispose 44 1426-116 Electronic BP Monitor beyond economical repair $2,109.75 $0.00 remove & dispose 45 0800-243 Disk Drive broken-used for Darts $9,000.00 $0.00 remove & dispose 46 0800-504 Dell Computer broken-used for parts $1,975.00 $0.00 remove & dispose 47 0901-258 Dell Computer broken-used for parts $2.024.00 $0.00 remove & dispose 48 1001-552 Dell Computer broken-used for Darts $2,074.00 $0.00 remove & disoose 49 1005-106 Xerox Printer broken-used for oarts $2,231.00 $0.00 remove & dispose 50 2600-865 Router broken-used for Darts $2,881.15 $0.00 remove & dispose 51 2600-867 CSU/DSU broken-used for Darts $958.15 $0.00 remove & dispose 52 2600-919 Gateway Computer broken-used for Darts $2,059.00 $0.00 remove & dispose 53 2608-034 Printer broken-used for Darts $759.00 $0.00 remove & dispose TO: DIVINA SPEER MONROE COUNTY INVENTORY DELETION REQUEST Q '~ 1 1\)\)1 fEu '"'bf'lf,D 0 FROM: Keith Co~~\... PROPERTY CLERK. FINANCE DEPT. Fire Rescue IIJ<J:' t(~"\ _,c- o ,~ i;':'1~~ r~ ')003 RECfu\.-'> , L DATE: 2/04/2003 M.C. SERIAL ASSET DATE ORIGINAL & EST. I.D. NUMBER ~ER DESCIUlttION. PURCHASED PRESENT VALUE 3210-218 T80FVB38357 Ford Tanker Fire Apparatus 1976 90408.29 / ;1.500, Cd 1439-0051 C85L VE 1350 1 Cebtral Pumper 1969 52128.75/ /()(}D, 04 A 1438~9 I CKY244F382580 Chevy pick-up Rescue 1974 20,000.00 / /rtUi,Oi) CHECK APPROPRIATE LINE BELOW: ..... APPROVAL TO REMOVE FROM INVENTORY AND ADVERTISE FOR BIDS. APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. APPROV AL TO ACCEPT HIGHEST BIDS ON SURPLUS PROPERTY. REASON FOR REOUEST: Vehicles out of service and not cost effective to refurbish PREPARED BY: Keith Co 0 DATE: 2/04/2003 P~1~N JR ) . DIVISION DIRECTOR APPROVAL: OMS FORM REVISED IIJ99 MONROE COUNTY INVENTORY DELETION REQUEST TO: DtVl"a D~e-r Clerk FROM: /DC. Finance Department, Stop #8 DATE: ~/c;;)7/0.3 , , Monroe County LD. Number Serial Number Asset Description Date Original & Purchased Est. Present Value II 0.;;2 -/73 /'\p"c:.......a f}...JI ~cley'''cH'' '-1006 I -5bc.l0J /37/~ / ? , , I ~ Ch0ProPriate line: APPROVAL TO REMOVE FROM INVENTORY AND ADVERTISE FOR BIDS APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF SAME APPROVAL TO ACCEPT IDGHEST BIDS ON SURPLUS PROPERTY REASON FOR REQUEST: l )p~r~dc -b -\os-k--v- 90( p~eV"l-l PREP~: ~;dwL<'~~.TE: .:2~7GJ3 DIVISION DrnECTOR APPROVAL: . ~ Finance: Revised 2/14/96 - MONROE COUNTY INVENTO R YD ELl}:.TI 0 N REQ VEST if L ,'" 1 TO: J)t\[U,{A SPEGR t., Prop. Ocrk FROM: Finance Department, Stop #/8 DATE: ,/- ZQ-03 \/i\J)Qf) (1Lrtc5 J~OD~ ~U'f1--1 ~ER-TL{ ApPRA t:X{2, ~ Monroe County . LD. Number Serial Number Asset Description Dde Original & Purchased Est. Present Value Check appropriate line: APPROVAL TO REMOVE FROM mVENTORY AND ADVERTISE FOR BIDS X APPROVAL TO REMOVE FROM mVENTORY AND DISPOSE OF SAME APPROVAL TO ACCEPT HIGHEST BIDS ON SURPLUS PROPERTY REASON FOR REQUEST: . ~rQll6 OI~rtF.) ~~N f' (' ,)YlO'nUCQ O~ F' p::L-/0 PREPAREDDy::--\~r~ . D~2CI-O:; DIVISION DlllECTORAPPROVAL: _f ?~ ~-;_r2'- EKVIN H ,t;t; S LJ PROPJiRTY APPRAISER TECH SERVICES APPROVAL:~~_ _____ . ~ ~,..~ Finance: Revised 2/14/96 ~~ // ~.;'~ TE:~1fHIGItL SE~t/I(,GS JrPPP,or/AL: .~ ~ J(,c> Ii I ~ SO tJ ~ ~ computers Serial Number County Number Make Model Processor 02v42 J' 0400-1043 ./ Dell Optiplex GI Celeron if /;).(p /9 tt 1005,0 i) FB7CS/ 0400-975 ./ Dell Optiplex Gn+ Pentium 7 f"i 19 (5 175',2.00 FB7D2 .,I olfoo-Cnt Dell Optiplex Gn+ Pentium 7/N/qc; 17~J..tj6 U8MXC v" 0400-1022 ....- Dell OptipJex GI Pentium II 'J./5' / q tj i,/f,7,uO E09flS Y OlfoO..qi ~ Dell Optiplex Gxa Pentium II lffls(q~ /5"1S",oU -G91BI ~ OAn1\..107~ f g~llll1. Ddl Opllplex GX I 00 Celeron 02V45 D'ioo~/U'I R. 81'l.Jo'l.. DdlOptipkx CI CllleraR FB7CL -/ 0400-967 ./ Dell Optiplex Gn+ Pentium 7/1'i/~ ~ / 7 :).;l '00 5PG2L v o 'faD -/0' 7 Dell OptipJex GI Celeron "1/3019 Cj ;J7'1.0c.> E09SZ ....... OtfOO - <j'f 3 Dell Optiplex Gxa Pentium II '1/619 '6 / ,:>-?~-.() cJ 02V4J ./ 0400-1047 r./ Dell Optiplex GI Celeron .;hrv /cr'1 IOO~.DD - BB40C 0400.-ttt>6 R I }r5103 Dell Opdplt:x O~T f~lIl;UIII FB7D8 ,/ 0400-974 v Dell Optiplex Gn+ Pentium ,114~'i( /7:;'-J,.oo ETZZP -- 0400-964 ./ Dell Optiplex GXI Pentium II ~fI3h~ 17.lg,c)o U8QVW V' 0400-1021 V Dell Optiplex GI Pentium II ~/.; /9 q I ,-/5q, oJ ETZZJ ./ 0400-962 ./ Dell OptipJex GXI Pentium II fp(nf'}r.{ 17J.S.oO 02V4G ,/ 0400-1046..- Dell Optiplex GI CeJeron 'fh~/'Iq /OO~,OO 02V3N ../ 0400-1041 v Dell Optiplex GJ Celeron Jllu {q 'i JOC>S,OO BB198 f!. ' , Llell Opdplex remlum o 'fOD - '".3 'b1'2-1/ In F9VXS ,/ 0400-985 ./ Dell Optiplex Gn+ Pentium 710.19 (l ,).J-'/,?,oo U8QVR ,/ 0400-1020 v' Dell Optiplex GI Pentium II ~I ~ jq q I 'f~1,OO FB7DF ./ 0400- 1079 v" Dell Optiplex Gn+ Pentium .., (( 'if q c( /75'.1.,00 FB7D1 ,/ oQOO '&ff.,~ Dell Optiplex Gn+ Pentium 7/N/HI t?5J..OO ETZWR ./ 0400-989 ./ Dell OptipJex GXI Pentium II "lid 1 ~ 17 J..<l.oU Wednesday, January 29, 2003 Page I ofl TO: Divina D. Speer - Stop #8 Pr~erty Clerk, Finance Dept. ~-)D-~ MONROE COUNTY "COMPUTER RELATED EQUIPMENT" INVENTORY DELETION REQUEST FROM: r;:;:::12'4LJ ~~ DATE: CHECK APPROPRIATE LINE BELOW: APPROVAL TO REMOVE FROM INVENTORY AND ADVERTISE FOR BIDS. )( APPROVAL TO REMOVE FROM INVENTORY AND.>>ISPOSC 0P ~/~ _ ~ APPROV ALTO ACCEPT HIGHEST BIDS ON SURPLUS PROPERTY. REASON FOR REOUEST: 0mn.e f - ---i.~ - !J ~ {U f:ith: / , PREPARED BY: ~sbxu--, (!~ I\S ( 1 J.drUL ~i ~-~O-O.;3 ~ ~7~ PRINT NAME, ER~ Property Appraiser Tech Services Approval:' s4~ PRINT NAME: J I obl;;;e ShClI.A.J TECHNICAL SERVICES AP~ROVAL: ~J:? ~ TODD ERICKSON PROPERTY APPRAISER APPROVAL: ~ ~ OMB FORM REVISED 1\/99 R E eEl '\, ;::- "1 r- 1_ :.; . j ~ 'I_\..,) 1. -.:.. LUU e1/1e/2ee1 17:16 3e5295366C KOLHAGE CLERK FINANC PAGE 132./(': I\-..-..'r-..,...' ~.",.:\ COUNTY '1! f~ ~ '-' ~'ii r;~, I - ./-. "'~-." ", ,... ,,-t. . _.:..I TO: INVENT(};f<.1( L]E>.J3:TION REQUEST '\) ~ \) ~ Y\ G S_.\2-~ fROM: ~\^r € \ G\ +fo\ 0- PROPERTY CLERK, FINANCE DEPT DATE: 'H~;~~t:~ti~~~~" ~; ',;::J~~~\~ ASSET- DESCRIPTION (9110 \ /, \45~;t~;~~ ~~~ . ,Q'~W, ,:'.L' , '. Q-mGlN:~~L &E51. Pu.~~~~,~P:_<:'~~~ENTV ALU:E q-q,-<\~ ~ \ SJ~' IY I l : -+------ ---1----- o. ! CHECK APPROPRIA TEJ..rNE BELOW: REASON FOR REQUEST: ~ G\D GA)/\ e,) . ~~L- s-\q~e 00rIA ~\ ~~~ \ - A \ - Mo3 . PR!'~., 1\).-'.,\,1: MONROE COUNTY "COMPUTER RELATED EQUIPMENT" INVENTORY DELETION REQUEST 1 9 2003 'CT"\J~D ftB TO']) r /b J. J /'.L- REeDl '4 . / V/1V1f- ....),.P~ FROM: GM/()~ rtc:..-toreS PROPERTY CLERK. FINANCE DEPT. M t!- ~e cH-I/-5/ tV c;... - DATE: r-eB 0 200 ~ RECEIVED FES 1 4 2003 M.C. SERIAL ASSET DATE ORIGINAL & EST. I.D. NUMBER NUMBER DESCRIPTION PURCHASED PRJjSENT, V..t\LUE 'bELL o%/"o~e/f ~',,"HAr A J D3 :Tii rJJ-3tJ- f9 trp ~ (JK'03-(f8'7 2./11 -I- -''''7 / f CHECK APPROPRIATE LINE BELOW: APPROVAL TO REMOVE FROM INVENTORY AND ADVERTISE FOR BIDS. ~ APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. APPROVAL TO ACCEPT HIGHEST BIDS ON SURPLUS PROPERTY. REASON FOR REOUEST: R(?~;f:?r(?c/ a//;p( new CtJm.p&/7e/L PREPARED BY: adi:S I{ar~ DATE: .;?h~.3 DIVISION DIRECTOR APPROVAL: ~!; (}~~~ v t~ PRINTNA: .5__'LA l3A /0_d? ~ TECHNICAL SERVICES APPROV AL:~JJ ~ OMB FORM REVISED 11/99 T () b I) e p- r c../<. SO AJ ,~"""" MONROE COUNTY INVENTORY DELETION REQUEST JAN 2 9 2003 TO: DIVINA SPEER FROM: SOLID WASTE MANAGEMENT rES 0 4. 2003 RECEiVED PROPERTY CLERK, FINANCE DEPT. DA TE: 28 JAN 03 REl;EtVED FE8142003 M.C. SERIAL ASSET DATE ORIGINAL & EST. I.D. NUMBER NUMBER DESCRIPTION PURCHASED PRESENT VALUE 0977-144 59MOK DELL COMPUTER 9/26/95 $2,617 PO 0977-146 SX82J DELL COMPUTER 1/11/96 $2,151 lio CHECK APPROPRlA TE LINE BELOW: APPROVAL TO REMOVE FROM INVENTORY AND ADVERTISE FOR BIDS. XXX APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. APPROVAL TO ACCEPT HIGHEST BIDS ON SURPLUS PROPERTY. REASON FOR REQUEST: Equipment is beyond repair t1/tl&/ DATE~ DIVISION DIRECTOR APPROVAL: ~ nJ~D-3 ~T AME: ~~5 IZ A '-f' TEc,H SER-V1G6S A-PPfOVAI,~ ~~~?~ PREPARED BY: TObt) 6"~\C"So lJ OMB FORM REVISED 11/99 MONROE COUNTY "COMPUTER RELATED EQUIPMENT" "G 1003 INVENTORY DELETION REQlmSFF,D fEb 0 TO: _Divina Speers FROM: _Mayra Tezaanos PROPERTY CLERK, FINANCE DEPT. DATE: _February 4, 2003 _Growth Management Division CHECK APPROPRlA TE LINE BELOW: APPROVAL TO REMOVE FROM INVENTORY AND ADVERTISE FOR BIDS. APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. APPROVAL TO ACCEPT HIGHEST BIDS ON SURPLUS PROPERTY. x -- REASON FOR REQUEST: _Item is obsolete per Technical Services (Jimmy Perry) PREPARED BY: _Mayra Tezanos DATE: 02/04/03 DIVISION DIRECTOR APPROVAL: TECHNICAL SERVICES APPROVAL: OMB FORM REVISED 11/99 MONROE COUNT~ECErVEn MAR 0 5 2003 INVENTORY DELETION REQUEST TO: Divina D. Speer - Stop #8 Property Clerk, Finance Dept. FROM: DALE ENW ALL .., lIJ{\) \- tB 0 T RECBIVED DATE: 3200-045 7870589G Treadle 09/30/1989 $2,790.75/$0 3200-058 99S111116 Fax Machine 10/30/1990 $940.00/$0 3200-064 ME21 K08282 UPS 1/15/1992 $1,200.00/$0 3200-068 nla Tool Booth Computer 1/15/1992 $8,000.00/$0 3200-069 nla Tool Booth Computer 1/15/1992 $8,000.00/$0 3200-071 nla Receipt Printer 1/15/1992 $1,200.00/$0 3200-087 10191 Echo Generator 4/5/1995 $995.00/$0 CHECK APPROPRIATE LINE BELOW: xxxxx APPROVAL TO REMOVE FROM INVENTORY AND ADVERTISE FOR BIDS. APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. APPROVAL TO ACCEPT HIGHEST BIDS ON SURPLUS PROPERTY. REASON FOR REOUEST: Old-obsolete-mostly broken-beyond economical repair. Equipment already replaced. PREPARED BY: ~ 6 ~ DATE: PRINT NAME DA ENW ALL I /~1ID3 I , 0404-/03 l//7 / ~ APPROVED BY: DATE: PRINT DIVISION DIREC VAL: /" ~ PRINT NAME DE~PIERCE TECHNICAL SERVICES APPROVAL ~~) lJ:lJu Print Name ODD ERICKSON OMS FORM REVISED 11/99 TO: DATE: RECEIVED FEB 2 1 Z003 MONROE COUNTV- I;) ?J)01 INVENTORY DELETION REQUEST ~-r"'T\T;::D M~~ \) t\~~ "~,- FROM: K:-ter L~\e(~ ~\'<2...C= Re.ccve..- Sv (' ~CN"~ ~ ~C'Vl(" e~ (Yl ~ \. Divina D. Speer - Stop #8 Property Clerk, Finance Dept. al\.,l()~ r':~N,?ft~;~(~1~;:~f ,.J:m~~tipjij\~~;?:' 1412-022 571APElOI5 1412-026 1413-040 1413-041 1426-027 1426-065 1426-116 57APElOI9 lRTKW lRTKT 1422 000741 0003907 Medic Portable $2,488.81/$0 Medic Portable 4/20/89 $2,488.81/$0 Computer 9/2/92 $1,634.00/$0 Computer 9/2/92 $1,358.00/$0 Dixie Thumper 3/25/80 $3,293.00/$0 Battery Support System 2/17/84 $1,210.44/$0 Electronic BP Monitor 2/1/89 $2,109.75/$0 CHECK APPROPRIATE LINE BELOW: xxx xxx APPROVAL TO REMOVE FROM INVENTORY AND ADVERTISE FOR BIDS. APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. APPROVAL TO ACCEPT HIGHEST BIDS ON SURPLUS PROPERTY. REASON FOR REQUEST: Mostly broken - beyond economical repair - old - obsolete APPROVED BY: R..:\-e, L V ~ e.~ PRINT NAME PETE LUBER T DATE: ~h '-\, (1"3 DIVISION DIRECTOR APPROVAL: P~NTNAME CL~ ~ TECHNICAL SERVICES APPROVAL: ~ Print Name TODD ERICKSON OMS FORM REVISED 11/99 TO: DATE: :~:;'''I';'.''JfCf ""j,i(;" ',,' '~1;i1':' ;', ,~, '".i\,ij'ffi ' 0800-243 0800-504 0901-258 1 001-552 1005-106 2600-865 2600-867 2600-919 2608-034 MONROE COUNTY "COMPUTER RELATED EQUIPMENT" INVENTORY DELETION REQUEST , ,.\ ,( , .' Divina Speer Property Clerk, Finance Dept. FROM: ;. ' 13B005 Disk Drive 9/28/94 $9,000.00/$0 UX35B Dell Computer 3/24/99 $1,975.00/$0 DCOHR Dell Computer 2/19/98 $2,024.00/$0 DCOHR Dell Computer 2/17/99 $2,074.00/$0 2KU-437380 Xerox Printer 12/1/97 $2,231.00/$0 4SDA014317 Router 9/6/96 $2,881,15/$0 1276060715 CDU/DSU 9/30/96 $958.15/$0 0016333113 Gateway Computer 11/19/99 $2,059.00/$0 SUSDH049631 PRINTER 8/24/98 $759.00/$0 CHECK APPROPRIATE LINE BELOW: xxxxx APPROVAL TO REMOVE FROM INVENTORY AND ADVERTISE FOR BIDS. APPROV AL TO REMOVE FROM INVENTORY AND DISPOSE OF IT. APPROV AL TO ACCEPT HIGHEST BIDS ON SURPLUS PROPERTY. REASON FOR REQUEST: MOSTLY BROKEN - USED FOR PARTS APPROVED BY: TODD ERICKSON DATE: DIVISION DIRECTOR APPROVAL: c....~1i3~. PRINT NAME: - SHEILA BARKER TECHNICAL SERVICES APPROVAL: ~ ~ I:k PRINT NAME: TO ICKSON OMB FORM REVISED 11/99