Item C01BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: October 20, 2004 Division: Monroe County
Bulk Item: YES XXX NO
Department: Fixed Asset Surplus
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: N/A
STAFF RECOMMENDATION:
APPROVAL RETROACTIVE TO SEPTEMBER 30, 2004
TOTAL COST: N/A
BUDGETED: Yes No
COST TO COUNTY: N/A SOURCE OF FUNDS: N/A
REVENUE PRODUCING: Yes _ No AMOUNT PER MTH YEAR
APPROVED BY: County Atty OMB/Purchasing Risk Management
Prepared by: bA-In 0, I!TA-0
Print Name: Divina D. Speer
DIVISION DIRECTOR APPROVAL: —t�'s A JA A--,
Print Name: SANDRA CARLILE, Finance Director
DOCUMENTATION: Included YES
DISPOSITION:
To Follow Not Required
Agenda Item # 1,
Monday, October 04, 2004
Revised 1/03
Board of County Commisioner
October 20, 2004
SCHEDULE OF SURPLUS ITEMS
ITEM BACKGROUND
AMOUNT
BOCC ACTION
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
Count ID #
0201-206
0201-208
0201-210
0202-388
0202-399
0202-476
0202-503
0202-559
0202-351
0601-356 _Laptop
0601-434
0601-452
0601-454
0601-495
1102-202
1432-094
1432-174
1432-390
1432-400
14130226
1431-236
1432-210
1439-312
0902-528
0903-606
2601-058
2608-020
2608-040
2600-891
2608-026
2608-043
2608-057
2608-027
0801-094
0902-533
1501-147
0601-348
0601-429
Description
Computer
Computer
Computer
Computer
Computer
Computer
Computer
Com uter
Printer
Com uter
Laptop Computer
Laj2top Computer
Laptop Computer
Laptop Computer
Computer
Generator
Foam Maker
Printer
Air Compressor
Radio
Radio
Printer
Radio
Vulcan Steamer
Sound System
CD Cabinet
Com utr
Dell Bay Tower
Computer
Printer
Printer
Computer
Scanner
Printer
Vulcan Kettle
Radio
Lmtop Computer
Com uter
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
be nd economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical re air
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical repair
beyond economical re air
beyond economical repair
beyond economical repair
lost -see police report
lost -see lice report
lost -see lice report
Original
Value
$1,589.00
$1,589.00
$1,589.00
$1,921.94
$1,921.94
$1,566.00
$1,566.00
$1,306.00
$2,415.50
2,243.981
$2,685.00
$2,195.00
$2,195.00
$2,366.44
$821.84
$1,150.00
$1,020.00
$779.99
$1,718.29
$1,273.35
$854.15
$899.99
$854.16
$5,675.00
$1,774.16
$1,184.61
$3,016.06
$2,888.00
$1,298.00
$939.00
$759.00
$2,137.00
$939.00
$778.98
$6,537.00
$854.15
$2,360.83
$1,590.80
Estimated
Present
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Value
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
need a roval to-
remove from inventory and dispose
remove from inventory and dispose
1 remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
1 remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dis se
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
1 remove from inventory and dispose
1 remove from inventory and dispose
1 remove from iny22!M and dispose
1 remove from inventory and dispose
1 remove from inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
remove from -inventory and dispose
remove from inventory and dispose
remove from inventory and dispose
1
remove from inventoryand dispose
remove from inventoryand dispose
remove from inventory
remove from invento .
remove from inventory
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
TO: Divina D. Speer - Stop #8 FROM:
Property Clerk, Finance Dept.
DATE:
0201-206
G5J23
Computer
9/8/98
$1,589.00/$0
0201-208
G5J26
Computer
9/8/98
$1,589.00/$0
0201-210
G5J29
Computer
9/8/98
$1,589.00/$0
0202-388
30453360
Computer
3/12/96
$1,921-.94/$0
0202-399
30600427
Computer
3/12/96
$1,921.9410
0202-476
GPBZ3
Computer
9/3/98
$1,566.00/$0
0202-503
GPBZH
Computer
9/3/98
$1,566.00/$0
0202-559
37K7A
Computer
3/23/99
$1,306.00/$0
0202-351
JPDH002210
Printer
2/7/96
$2,415.5050
CHECK ONE (1) APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
REASON FOR REQUEST:
Broken- Beyond economical
PREPARED BY:
PRINT NAME:
DIVISION DIRECTOR APPROVAL
4-i
TECHNICAL SERVICES APPROVj
PRIN
DATE:
OMB FORM REVISED 11/99
08/31/04 MONROE COUNTY
BROKEN WONT BOUT
SELECTION CRITERIA: assets.assetid in('0201-206','0201-208'.'0201-210')
SORT SEQUENCE: assetid
PAGE 1
ASSET ID
DESCRIPTIVE INFORMATION
ACQUISITION INFORMATION
DEPRECIATION INFORMATION
0201-206
COMPUTER, DELL -KW ANNEX/FINAN
FUNDING 001
CAPITAL ASSET Y
EST LIFE DEP
LIFE 5
-000
MFR DELL
CLS M
VENDOR 000394
DEP N POST DP Y DEP
METH SL
MODEL OPTIPLEX GX1.
CAT 504
PO 031992
UNITS 1
ORG/ACCT 89500 530590
S/N G5J23
LOC LK-W02
CHECK 485
UN CST 1589.00
SALVAGE VALUE'
FUNCTION 5100
ACTIVITY 5130
MULTIFUNC
ACCUMULATED DEP
.00
1589.00
INVENTORY DATE 08/26/03
FUND TYPE
G ACQUIRE 09/08/98
COST 1589.00
REM BOOK BASIS
CONDITION GOOD STATUS
DPT 02010
INS CO
DEP BASIS
.00
1589.00
NEXT SCHEDULED MAINTENANCE
GRT
INS VAL
.00
LAST POSTING DATE
09/30/03
CUSTODIAN 02
LOCATION
KW FINANCE COW ROOM
SALE AMOUNT
REMARKS
LICENSE #
NOT USING
RETIRED DATE
.00
TFER FROM/TO
0201-208
COMPUTER, DELL -KW ANNEX/FINAN
FUNDING 001
CAPITAL ASSET Y
EST LIFE DEP
LIFE 5
-000
MFR DELL
CLS M
VENDOR 000394
DEP N POST DP Y DEP
METH SL
MODEL OPTIPLEX GN+
CAT 504
PO 031992
UNITS 1
ORG/ACCT 89500 530590
S/N G5J26
LOC LK-W02
CHECK 485
UN CST 1589,00
SALVAGE VALUE
FUNCTION 5100
ACTIVITY 5130
MULTIFUNC
ACCUMULATED DEP
.00
1589.00
INVENTORY DATE 08/26/03
FUND TYPE
G ACQUIRE 09/08/98
COST 1589.00
REM BOOK BASIS
CONDITION GOOD STATUS
DPT 02010
INS CO
DEP BASIS
.00
1589.00
NEXT SCHEDULED MAINTENANCE
GRT
INS VAL
.00
LAST POSTING DATE
09/30/03
CUSTODIAN 02 DANNY KOLHAGE
LOCATION
KW FINANCE VACANT
SALE AMOUNT
.00
REMARKS
LICENSE #
WAS JANELL
RETIRED DATE
TFER FROM/TO
0201-210
COMPUTER, DELL -FINANCE
FUNDING 001
CAPITAL ASSET Y
EST LIFE DEP
LIFE 5
-000
MFR DELL
CLS M
VENDOR 000394
DEP N POST DP Y DEP
METH SL
MODEL P6333
CAT 504
PO 031992
UNITS 1
ORG/ACCT 89500 530590
S/N G5J29
LOC LK-W02
CHECK 485
UN CST 1589.00
SALVAGE VALUE
FUNCTION 5100
ACTIVITY 5130
MULTIFUNC
ACCUMULATED DEP
.00
1589.00
INVENTORY DATE 08/26/03
FUND TYPE
G ACQUIRE 09/08/98
COST 1589.00
REM BOOK BASIS
CONDITION GOOD STATUS
DPT 02010
INS CO
DEP BASIS
.00
1589.00
NEXT SCHEDULED MAINTENANCE
GRT
INS VAL
.00
LAST POSTING DATE
09/30/03
CUSTODIAN 02
LOCATION
KW FINANCE CONNIE
SALE AMOUNT
.00
REMARKS
TFER FROM/TO
LICENSE #
RETIRED DATE
REPORT TOTAL 3 RECORDS SELECTED
COST 4,767.00
INSURANCE VALUE .00
SALVAGE VALUE .00
ACCUMULATED DEPRECIATION 4.767.00
SALE AMOUNT .00
GO X'f
RUN DATE 08/31/04 TIME 09:38:18 PENTAMATION GOVERNMENT SYSTEMS - FIXED ASSETS -- VERSION 5.2
08/31/04
MONROE COUNTY
PAGE 1
BROKEN WONT BOUT
SELECTION CRITERIA: assets.assetid in('0202-476','0202-559','0202-503','0202-388','0202-399')
SORT SEQUENCE: assetid
ASSET ID DESCRIPTIVE INFORMATION
ACQUISITION INFORMATION
DEPRECIATION INFORMATION
0202-388 GLOBALYST 630
FUNDING 001
CAPITAL ASSET Y
EST LIFE DEP
LIFE 5
-000 MFR
CLS M
VENDOR 042612
DEP N POST DP Y DEP
METH SL
MODEL
�
CAT 504
PO 030242
UNITS
ORG/ACCT 89500 530590
SIN 30453360
LOC LK-W09
CHECK 00000000
UN CST 1921.94
SALVAGE VALUE
FUNCTION 7100
ACTIVITY 7190
MULTIFUNC
ACCUMULATED DEP
.00
1921.94
INVENTORY DATE 05/22/03
FUND TYPE
G ACQUIRE 03/12/96
COST 1921.94
REM BOOK BASIS
CONDITION GOOD STATUS ACTIVE
DPT 02004
INS CO
DEP BASIS
.00
1921.94
NEXT SCHEDULED MAINTENANCE 09/25/03
GRT
INS VAL
.00
LAST POSTING DATE
09/30/01
CUSTODIAN 02
LOCATION
KW LESTER/PUBLIC RECORDS SALE AMOUNT
REMARKS
LICENSE #
FRONT DESK
RETIRED DATE
.00
TFER FROMITO FR 02001 TO 02004
0202-399 AT&T GLOBALYST 630
FUNDING 001
CAPITAL ASSET Y
EST LIFE DEP
LIFE 5
-000 MFR AT&T
CLS M
VENDOR 042612
DEP N POST DP Y DEP
METH SL
MODEL 630 P100 -
CAT 504
PO 030242
UNITS
ORG/ACCT 89507 530590
SIN 15-30600427
LOC MK-MO1
CHECK 00000000
UN CST 1921.94
SALVAGE VALUE
FUNCTION 7100
ACTIVITY 7190
MULTIFUNC
ACCUMULATED DEP
.00
1921.94
INVENTORY DATE 06/05/03
FUND TYPE
G ACQUIRE 03/12/96
COST 1921.94
REM BOOK BASIS
CONDITION GOOD STATUS ACTIVE
DPT 02004
INS CO X
DEP BASIS
.00
1921.94
NEXT SCHEDULED MAINTENANCE 09/30/00
GRT
INS VAL
.00
LAST POSTING DATE
09/30/01
CUSTODIAN 02
LOCATION
MTHN PUBLIC ACCESS
SALE AMOUNT
REMARKS
LICENSE #
RETIRED DATE
.00
TFER FROM/TO FM 02001 TO 02004
0202.476 DELL MONITOR (AND PC P33GXIMT)
FUNDING 306
CAPITAL ASSET Y
EST LIFE DEP
LIFE 5
*** MFR DELL
CLS M
VENDOR 000394
DEP N POST DP Y DEP
METH SL
MODEL P33 GXI / MT
CAT 504
PO 031992
UNITS 1
ORG/ACCT 89507 530590
SIN GPBZ3
LOC MK-MOi
CHECK 315798
UN CST 231.00
*TOT SALVAGE AMT
FUNCTION 7200
ACTIVITY 7240
MULTIFUNC
*TOT ACCUM DEPR
.00
1543.75
INVENTORY DATE 06/05/03
FUND TYPE
G ACQUIRE 09/03/98
*TOT CST 1566.00
*TOT REM BOOK
22.25
CONDITION GOOD STATUS ACTIVE
DPT 02041
INS CO X
*TOT BASIS
1566.00
NEXT SCHEDULED MAINTENANCE 09/30/00
GRT
*TOT INS
.00
LAST POSTING DATE
09/30/03
CUSTODIAN 02
LOCATION
MTHN PEGGY CREECK
*TOT SALE AMOUNT
00
REMARKS
LICENSE #
RETIRED DATE
TFER FROM/TO FM 02500 TO 02041
0202-503 DELL MONITOR (AND PC P33GXI)
FUNDING 306
CAPITAL ASSET Y
EST LIFE DEP
LIFE 5
*** MFR DELL
CLS M
VENDOR 000394
DEP N POST DP Y DEP
METH SL
MODEL P33 GXI / MT
CAT 504
PO 031992
UNITS 1
ORG/ACCT 89507 530590
SIN GPBZH
LOC MK-M01
CHECK 315798
UN CST 231.00
*TOT SALVAGE ANT
FUNCTION 6100
ACTIVITY 6140
MULTIFUNC
*TOT ACCUM DEPR
.00
1543.75
INVENTORY DATE 06/05/03
FUND TYPE
G ACQUIRE 09/03/98
*TOT CST 1566.00
*TOT REM BOOK
22.25
CONDITION GOOD STATUS ACTIVE
DPT 02025
INS CO X
*TOT BASIS
1566.00
NEXT SCHEDULED MAINTENANCE 09/30/00
GRT
*TOT INS
.00
LAST POSTING DATE
09/30/03
CUSTODIAN 02
LOCATION
MTHN MARTHA/FRONT DESK*TOT SALE AMOUNT
REMARKS
LICENSE #
RETIRED DATE
.00
TFER FROM/TO FM 02500 TO 02025
RUN DATE 08/31/04 TIME 09:42:03 PENTAMATION GOVERNMENT SYSTEMS - FIXED ASSETS -- VERSION 5.2
08/31/04
MONROE COUNTY
BROKEN
SELECTION CRITERIA: assets.assetid='0202-351'
SORT SEQUENCE: assetid
ASSET ID DESCRIPTIVE INFORMATION
ACQUISITION INFORMATION
0202-351 HP JET 4V PRINTER
FUNDING 001
CAPITAL ASSET Y
-000 MFR
CLS M
VENDOR 022842
MODEL
CAT 502
PO 004574
UNITS
S/N JPDH002210
LOC MK-M01
CHECK 00000000
UN CST 2415.50
FUNCTION 7100
ACTIVITY 7190
MULTIFUNC
INVENTORY DATE 06/05/03
FUND TYPE
G ACQUIRE 02/07/96
COST 2415.50
CONDITION GOOD STATUS ACTIVE DPT 02004
INS CO X
NEXT SCHEDULED MAINTENANCE
09/25/03 GRT
INS VAL
.00
CUSTODIAN 02
LOCATION
MTHN FRONT DESK
REMARKS W/ IMAGE &
PRINT ACCELERA
LICENSE #
TFER FROM/TO FR 02001 TO 02004
REPORT TOTAL 1 RECORDS SELECTED
COST
2,415.50
INSURANCE VALUE
.00
SALVAGE VALUE
.00
ACCUMULATED DEPRECIATION
2,415.50
SALE AMOUNT
.00
RUN DATE 08/31/04 TIME 10:07:51 PENTAMATION GOVERNMENT SYSTEMS - FIXED ASSETS -- VERSION 5.2
PAGE 1
DEPRECIATION INFORMATION
EST LIFE DEP LIFE 5
DEP N POST DP Y DEP METH SL
ORG/ACCT 89500 530590
SALVAGE VALUE .00
ACCUMULATED DEP 2415.50
REM BOOK BASIS .00
DEP BASIS 2415.50
LAST POSTING DATE 09/30/01
SALE AMOUNT .00
RETIRED DATE
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
TO: Divina D. Speer - Stop #8 FROM: Jessica Vanlandingham
DATE: Property Clerk, Finance Dept. Guardian Ad Litem
0601-356
05675144
Toshiba Laptop Computer
6/1/96
$2,243.98/$0
0601-434
87146109
Toshiba Laptop Computer
9/30/97
$2,585.00/$0
0601-452
48662105A
Toshiba Laptop Computer
6/12/98
$2,195.00/$0
0601-454
28583657
Toshiba Laptop Computer
6/12/98
$2,195.00/$0
0601-495
Y8179795A
Toshiba Laptop Computer
3/3/99
$2,366.44/$0
CHECK ONE (1) APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
REASON FOR REQUEST:
Old — Obsolete — Too costly to upgrade — No longer in use
DIVISION DIRECTOR APPROVAL: a %,moo" 9,6
PRINT NAME: ALEXSA E
TECHNICAL SERVICES APPROVAL:
PRINTNAME: JIM AN T SSEL
OMB FORM REVISED 11/99
TO:
MONROE COUNTY 1110EMD SEP 01
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
Divina Speer_
PROPERTY CLERK, FINANCE DEPT.
DATE: f -W/ ¢
FROM
M.C.
I.D. NUMBER
SERIAL
NUMBER
ASSET
DESCRIPTION
DATE
PURCHASED
ORIGINAL & EST.
PRESENT VALUE
//tea-aa z
5�3�.3703
��ra,r�
- $
CHECK ONE (1) APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
_„X—APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND TRANSFER TO:
REASONFOR REQUjEST: nn
,1 1 S Cmmpur- located o LK aa, kl,�O-V-L../�
omw.ere--e jc-S4--oy,4
PREP
DIVISION DIRECTOR APPROVAL:
Y-jii4A� DATE:
PRINT NAME: James E.
TECHNICAL SERVICES APPROVAL:
PRINT NAME:
OMB FORM REVISED 10/28/2003
Brohaugh-Jean
From: Kokenzie-Hank
Sent: Monday, August 30, 2004 10:24 AM
To: Brohaugh-Jean
Subject: RE: Lower Key Chamber of Commerce computer
It is dead, it seems it took a strike and nothing is good in it, the power supply is dead and so is the motherboard, not worth
fixing, I cant even use any parts from it.
Hank Kokenzie
Sr. System Analyst
Monroe County BOCC
305-295-5114- X5125
Stop 5b
-----Original Message -----
From: Brohaugh-Jean
Sent: Monday, August 23, 2004 9:00 AM
To: Kokenzie-Hank
Subject: RE: Lower Key Chamber of Commerce computer
Hank,
Thanks for checking on the number for me. I will put off sending the paperwork thru to the BOCC to get rid of the
computer till I hear from you about its future.
Sincerely,
Jean C. Brohaugh
The Florida Keys & Key West
financeasst@fla-keys.com
---Original Message ----
From: Kokenzie-Hank
Sent: Saturday, August 21, 20041:44 PM
To: Brohaugh-Jean
Subject: RE: Lower Key Chamber of Commerce computer
First let me say that I will not destroy any computer, I will see if it can be repaired. Also I will check on those
numbers for you I will be in training out of town all next week, I will get that info for you when I return, We are
trying to get them running again, It seems that they took a lightening strike.
Hank Kokenzie
Sr. System Analyst
Monroe County BOCC
305-295-5114- X5125
Stop 5b
-----Original Message -----
From: Brohaugh-Jean
Sent: Friday, August 20, 2004 3:18 PM
To: Kokenzie-Hank
Subject: Lower Key Chamber of Commerce computer
Hank,
Nancy from the LKCOC says that you took the "fried" computer with you. I am presuming that the
County ID number on that computer is 1102-202.
My records show that you replaced it with 1102-201. Please confirm these tag numbers. And please
remember that I am not allowed to destroy that ruined computer until the paperwork goes thru the
BOCC and is approved.
Thanks and please get back to me ASAP.
Sincerely,
Jean C. Brohaugh
The Florida Keys & Key West
financeasst@fla-keys.com
MONROE COUNTY `"�` '' ' j C.,
INVENTORY DELETION REQUEST
TO: Divina D. Speer — Stop #8 FROM: PETER LUBERT
DATE: Property Clerk, Finance Dept. EMERGENCY MEDICAL SERV
1432-094
I I
♦
•�
1 / 1 1 1 • 1
CHECK ONE (1) APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
X��XXX APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE.
APPROVAL TO REMOVE FROM INVENTORY AND TRANSFER TO:
REASON FOR REQUEST -
Old — Obsolete — Beyond economical repair
APPROVED BY: DATE: qJ>-)JO 7
PR1NT NAME PET WRLUJBERT
DIVISION DIRECTOR APPROVAL:
PRINT NAME CLARK MARTIN
OMB FORM REVISED 11/99
MONROE COUNTY CE17'�U SEA' 2.420104
INVENTORY DELETION REQUEST
TO: Divina D. Speer — Stop #8 FROM: PETER LUBERT
DATE: Property Clerk, Finance Dept. EMERGENCY MEDICAL SERV
A 3c�-R Snr... +,�n1479•.�.fI1�99,l,1
77
"g.-.
N—��W
M _
M—��N
CHECK ONE (1) APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
XXXXX APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE.
APPROVAL TO REMOVE FROM INVENTORY AND TRANSFER TO:
REASON FOR REQUEST:
Mostly broken — Beyond Economical Repair
APPROVED BY: Ev�t;
PRINT N E PE R LUBERT
DIVISION DIRECTOR APPROVAL:
PRINT NAME CL�
OMB FORM REVISED 11/99
MONROE COUNTY
INVENTORY DELETION REQUEST
TO: Divina D. Speer — Stop #8
Property Clerk, Finance Dept.
DATE:
FROM: PETER LUBERT
EMERGENCY MEDICAL SERV
14130226
749ASY0124
Radio
1/27/93
$1273.35/$0
1431-236
355AZS3572
Radio
11/25/99
$854.15/$0
1432-210
na
Printer
12/28/98
$899.99/$0
CHECK ONE (1) APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
xxxxx APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND TRANSFER TO:
REASON FOR REOUEST•
Beyond economical repair
APPROVED BY: � DATE:
2/ D
PRINT NAM PET UBERT
00,
DIVISION DIRECTOR APPROVAL:
PRINT NAME CLARK T
OMB FORM REVISED 11/99
09/22/04 MONROE COUNTY
BROKEN
SELECTION CRITERIA: assets.assetid in ('1431-236','14130226')
SORT SEQUENCE: assetid
ASSET ID DESCRIPTIVE INFORMATION
14130226 RADIO
-000 MFR MOTOROLA
MODEL MT1000
S/N 749ASY0124
FUNCTION 5200
INVENTORY DATE 02/28/03
CONDITION GOOD STATUS ACTIVE
NEXT SCHEDULED MAINTENANCE 09/08/00
CUSTODIAN 69
REMARKS
TFER FROM/TO FM 11503 TO 10501
ACQUISITION INFORMATION
FUNDING 001
CLS M VENDOR 042053
CAT 505 PO 151009
LOC LK-SF1 CHECK 00186470
ACTIVITY 5250
FUND TYPE G ACQUIRE 01/27/93
DPT 10501 INS CO
GRT 092010 INS VAL
LOCATION
LICENSE #
CAPITAL ASSET Y
UNITS
UN CST 1273.35
MULTIFUNC
COST 1273.35
.00
SVFD E-10
PAGE 1
DEPRECIATION INFORMATION
EST LIFE DEP LIFE 5
DEP N POST DP Y DEP METH SL
ORG/ACCT 89501 530590
SALVAGE VALUE .00
ACCUMULATED DEP 1273.35
REM BOOK BASIS .00
DEP BASIS 1273.35
LAST POSTING DATE 09/30/01
SALE AMOUNT .00
RETIRED DATE
1431-236 RADIO, HT1000
FUNDING
125
CAPITAL ASSEP;Y.
EST LIFE DEP
LIFE 5
-000 MFR MOTOROLA
CLS M
VENDOR
MOTOROLA,
INC.
DER..Y POST DP Y DEP
METH SL.'
MODEL HT1000
CAT 505
PO
208079
UNITS 1 '(-!
ORG/ACCT 89501 530590
S/N 355AZS3572
LOC LK-SF1
CHECK .
22746
UN CST 854.15
SALVAGE VALUE
FUNCTION 5200
ACTIVITY 5250
MULTIFUNC {._;ri :. :.ACCUMULATED
DEP
.00:1: .
654.85.:
INVENTORY DATE 03/28/03
FUND TYPE
G ACQUIRE
11/25/99
COST 854 ],5_.'T0iiY
;REM BOOK' BASIS
199.30 •
CONDITION GOOD STATUS
DPT 13000
INS CO
'DEP
'BASIS '
;
854:15''
NEXT SCHEDULED MAINTENANCE 09/29/03
GRT GE9803
INS VAL
.00 ?;
09/30/03 � "
CUSTODIAN 69
LOCATION
SLVFD E-10 .i"PODIN;
SALE AMOUNT
REMARKS EMS COUNTY AWARD GRANT
LICENSE;
RETIRED SATE
.00
TFER FROM/TO FR 13503 TO 13000
REPORT TOTAL 2 RECORDS SELECTED
COST 2,127.50
-INSURANCE VALUE .00
SALVAGE VALUE .00
ACCUMULATED DEPRECIATION 1,928.20
SALE AMOUNT .00
RUN DATE 09/22/04 TIME 08:16:23 PENTAMATION GOVERNMENT SYSTEMS - FIXED ASSETS -- VERSION 5.2
luo
09/21/04
MONROE COUNTY
1432-210
SELECTION CRITERIA: assets.assetid='1432-210'
SORT SEQUENCE: assetid
ASSET ID DESCRIPTIVE INFORMATION
ACQUISITION INFORMATION
1432-210 COPIER
FUNDING 125
CAPITAL ASSET Y
-000 MFR CANON
CLS M
VENDOR OFFICE DEPOT
MODEL
CAT 502
PO 202261
UNITS 1
S/N
LOC MK-M17
CHECK 3918
UN CST 899.99
FUNCTION 5200
ACTIVITY 5260
MULTIFUNC
INVENTORY DATE 03/06/03
FUND TYPE
G ACQUIRE 12/28/98
COST 899.99
CONDITION GOOD STATUS ACTIVE
DPT 13001
INS CO
NEXT SCHEDULED MAINTENANCE 09/25/03
GRT
INS VAL
CUSTODIAN 77
LOCATION
.00
BIG PINE
REMARKS WAS O454-02
LICENSE #
TFER FROM/TO FR 04546 TO 13001
REPORT TOTAL 1 RECORDS SELECTED
COST 899.99
INSURANCE VALUE
.00
SALVAGE VALUE
.00
ACCUMULATED DEPRECIATION 854.99
SALE AMOUNT
.00
RUN DATE 09/21/04 TIME 15:46:46 PENTAMATION GOVERNMENT SYSTEMS - FIXED ASSETS -- VERSION 5.2
PAGE 1
DEPRECIATION INFORMATION
EST LIFE DEP LIFE 5
DEP Y POST DP Y DEP METH SL
ORG/ACCT 89501 530590
SALVAGE VALUE .00
ACCUMULATED DEP 854.99
REM BOOK BASIS 45.00
DEP BASIS 899.99
LAST POSTING DATE 09/30/03
SALE AMOUNT .00
RETIRED DATE
MONROE COUNTY
INVENTORY DELETION REQUEST
TO: Divina D. Speer — Stop #8 FROM: PETER LUBERT
DATE: Property Clerk, Finance Dept. EMERGENCY MEDICAL SERV
CHECK ONE (1) APPROPRIATE LINE BELOW:
APPROVAL TO ADVERTISE FOR BIDS.
APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND TRANSFER TO:
REASON FOR REQUEST:
LOST
APPROVED BY: 0-eff, DATE:
PRINT NAME PETER LUBERT
DIVISION DIRECTOR APPROVAL:
PRINT NAME 4CLARK "MARTIN
OMB FORM REVISED 11/99
MONROE COUNTY
INVENTORY DELETION REQUEST
TO: DIVINA SPEER FROM: ROBERT A. STONE
PROPERTY CLERK FINANCE DEPT. Public Works
DATE: September 23, 2004
AK G. SERIAL
ASSET DATE ORIGINAL & EST.
LDi,. NUMBER; N—UM)3ER DESCRIPTION PURCHASED PRESENT VALUE
0902-528 27-1003768 Vulcan Hart Steamer
02/01/94 $5675.00/$0
CHECK APPROPRIATE LINE BELOW
APPROVAL TO REMOVE FROM INVENTORY AND ADVERTISE FOR BIDS.
XXXX APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE nr r-r
rr�rr=rror vo vx rr
APPROVAL TO ACCEPT HIGHEST BIDS ON SURPLUS PROPERTY.
REASON FOR REQUEST: Steamer was put out to bid and a bill of sale(attached) issued on 3/25/04 The County ID number
of 0902 530 listed on the Bill of Sale is 1n error and should have been 0902-528. 0902-530 SIN 27-1003770 was disDosed of
on 9/8/02 (please see the attached Inventory Deletion Request and Asset Destruction Certification)
PREPARED BY: r/ /� y7 DATE: September 23, 2004
Robert A. Stone
DIVISION DIRECTOR APPROVAL:
PRINT NAME: DENT PIERCE
OMB FORM REVISED 11/99
BILL OF SALE,r ABSOLUTE
KNOW ALL MEN BY THESE PRESENTS, that the COUNTY OF MONROE, FLORIDA, a political
subdivision of the State of Florida, party of the first part, for and in consideration of the sum of ONE
HUNDRED FIFTY DOLLARS ($150.00) in lawful money of the United States, to it paid by KONRAD
JOCHUM, party of the second part, the receipt whereof is hereby acknowledged, does grant, bargain,
sell, transfer and deliver unto KONRAD JOCHUM, party of the second part, the following goods and
chattels:
VULCAN CONVECTION STEAMER
SERIAL NO. 27-1003768
COUNTY ID NO. 0902-530
TO HAVE AND TO HOLD the same unto the said KONRAD JOCHUM forever.
And it does covenant to and with the said party of the second part that it is the lawful owner of
said goods and chattels; that they are free from all encumbrances; that it has good right to sell the
same as aforesaid; that said goods and chattels are sold to the party of the second part in "AS IS"
condition with no warranties, express or implied, of any kind concerning the safety, working condition,
or any other aspect of merchantability.
IN WITNESS WHEREOF, the said party of the first part has caused these presents to be signed
in its name by its Chairman and its seal to be affixed, attested to by its Clerk, the 17th day of March,
(SEhl- BOARD OF COUNTY COMMISSIONERS
ATTEST: D Y L. KOLHAGE, CLERK OF MONROE COUNTY, FLORIDA
By By putt' erk Mayo /Chairman
c
MONROE COUNT` ATi'0R1-iE..
ROVED AS 1^i
UZANNE A'
(STATE OF FLORIDA) ASSISTAN ou Y. TTOW EY
(COUNTY OF MONROE) Dal:
I HEREBY CERTIFY that on the 25th day of March , 2004, before me personally
appeared Murray E. Nelson and Pam Guin
Chairman and Deputy Clerk, respectively, of the Board of County Commissioners of Monroe County,
Florida, to me known to be the persons described in and who executed the foregoing Bill of Sale,
Absolute, to KONRAD JOCHUM, and severally acknowledged the execution thereof to be their free
act and deed as such officials, for the uses and purposes therein mentioned, and the said instrument
is the act and deed of said County.
WITNESS my signature and official seal at Key West, County of Monroe, State of Florida, the
day and year last aforesaid.
L.
Typed/Printed Notary Name & Number Signature ofNotary Public
My Commission Expires:�--^---
PAMELA G. HANCOCK
MY COMMISSION I DO 256075
EXPIRES: February 7, M
0-dad Th- N-ry pLbk un& rk.,$
c
MONROE, COUNTY
INVENTORY DELETION 1MQtJ , EST
TO:, DivinaD. Speer - Stop ya FROM: Gina Carniona
Property Clerk, Finance Dcpt. Public W
DATE:
CHECK APPR P Tt IN., BELOW
APPROVAL TO REMOVE FROM INVENTORY AND ADVERTISE FOR BlDS.
..XXXXX APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF TT.
APPROVAL TO REMOVE FROM INVENTORY AND TRADE.
RE -Q -m- y- Q 1" A- Eu p U 1! S T:
Mostly brok-en - Old - obsolete - no longer in use
APPROVED 13y:
DATE:
PRrNTNAME: RO—ueRT—STONE -
DIVISION DIRECTOR APPROVAL:
��---
PRINTNAMr`
D 'NT PIERCE
ONfli 1`01w vF.v1%[!j) 11199
&3 W817:60 VOW ZZ! 'das 6662:-G6Z-!&02: 'ON Xdj 83IN30 NOIIN313G AiNnOD 308NOW Woaj
MONROE COUNTY
ASSET DESTRUCTION CERTIFICATION
TO: CLiy,,c�A �..� eg
Property Clerk, Finance Dept.
DATE:
I CERTIFY THAT THE ABOVE; LISTED
MONROECOUNTY PROPERTy HAS BEEN_
DISPOSI;b IN ACCORDANCE WITH MCC API'ROVAL.
SIUNEU BY ANU TITLE DATE
£d l ldbb : b0 b002! ZZ 'daS b66£-S6Z-50£ : 'ON Xtl.j d31NdJ NO I LN3l3Q AiNnm nowt tow : WOdd
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
TO: Divina D. Speer - Stop #8 FROM: Norma Kula, Director
Property Clerk, Finance Dept. Monroe County Public Libraries
DATE: _
0903-606
018981
Sound System
9/30/91
$1,774.16/$0
2601-658
na
CD Cabinet
5/27/92
$1,184.61/$0
CHECK ONE U) APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
xxxx APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
REASON FOR REOUEST•
Mostly broken — beyond economical
A
APPROVED BY: a_ ,
PRINT NAME: NORMA KU
DIVISION DIRECTOR APPROVAL:
PRINT NAME
T,
OMB FORM REVISED 11/99
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
TO: Divina D. Speer - Stop #8 FROM: Norma Kula, Director
DATE: Property Clerk, Finance Dept. Monroe County Public Libraries
2608-020
5YSJ4
Computer
4/l/96 $3,016.06/$0
2608-040
na
Dell Bay Tower
8/24/98
$2,888.00/$0
CHECK ONE (1) APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
XXXX APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
REASON FOR REOUEST•
Mostly broken — beyond economical repair
J
APPROVED BY: ? fe� �� /�
PRINT NAME: NORMA KU
DIVISION DIRECTOR APPROVAL:
PRINT NAME:
TECHNICAL SERVICES APPROVAL:
PRINT NAME:
OMB FORM REVISED 11199
TO:
DATE:
2600-891
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
Divina D. Speer - Stop #8 FROM: Norma Kula, Director
Property Clerk, Finance Dept. Monroe County Public Libraries
4FV3A Computer 9/30/99 $1,298.00/$0
2608-026
SSG5BR2207D
Printer
07/16/96
$939.00/$0
2608-043
USDH029253
Printer
7/l/98
$759.00/$0
2608-057
G3SFM
Computer
8/26/98
$2,137.00/$0
CHECK ONE (11 APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
REASON FOR REQUEST:
Mostly broken — beyond economical repair
APPROVED BY:
PRINT NAME: NORMA KU
DIVISION DIRECTOR APPROVAL:
PRINT NAME
TECHNICAL SERVICES APPROVAL:
PRINT NAME:
DATE: 9 A201,69V
OMB FORM REVISED 11/99
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
TO: _Divina D. Speer - Stop #8 FROM: Norma Kula, Director
DATE: Property Clerk, Finance Dept. Monroe County Public Libraries
-
--
�. -� i 4t'�a
l�'
E
at _f �- �Y'%`4 11&:
,.0 _...-
$939.
■
■
CHECK ONE (!) APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
XXXX APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
REASON FOR REOUEST•
Mostly broken — beyond economical repair
i�
APPROVED BY: vw��/�
PRINT NAME: NORMA KU
DIVISION DIRECTOR APPROVAL:
PRINT NAME:
TECHNICAL SERVICES APPROVAL:
PRINT NAME:
OMB FORM REVISED 11/99
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
TO: Divina D. Speer - Stop #8 FROM: Christine Diaz
Property Clerk, Finance Dept. Personnel
DATE:
0801-094 SUSBB105524 Printer 3/4/97 .$778.98/$0
CHECK ONE (1) APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
XXXX APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
REASON FOR REQUEST:
Broken — beyond economical repair
APPROVED BY:
PRINT NAME: Christine Diaz
DIVISION DIRECTOR APPROVAL:
PRINT NAME
DATE: 4 Q
OMB FORM REVISED 11/99
MONROE COUNTY
INVENTORY DELETION REQUEST
TO: DIVINA D. SPEER STOP #8 FROM: sn ,
PROPERTY CLERK FINANCE DEPT. cJ
DATE:
N�,Cr A,SScET` DATE ORIGINAL &EST.
I DI#
MESE11I"�' VALUE
.Z- 3 S/ f �/lC-��1/ /! e� / c
CHECK ONE (1) APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND TRANSFER TO:
REASON FOR REQUEST•
PREPARED BY: C7 • Cr ��/%I4721Z� DATE:
PRINT NAME:
DIVISION DIRECTOR APPROVAL:
PRINT NAME:
OMB FORM REVISED 10/28/2003
TO:
DATE:
MONROE COUNTY
INVENTORY DELETION REQUEST
Divina D. Speer — Stop #8 FROM: PETER LUBERT
Property Clerk, Finance Dept.
EMERGENCY MEDICAL SERV
ry--_�b�& E ----p
s �.�— _' C,
T
-
'"-. *c '-��^y�^^...^
rT^+-^^
i-p--p
r'3
�v-•--.- �-gt y� _ 7 ,y'T'T--,
CHECK ONE (1) APPROPRIATE LINE BELOW:
APPROVAL TO ADVERTISE FOR BIDS.
XXXXX APPROVAL TO REMOVE FROM INVENTORY.
APPROVAL TO REMOVE FROM INVENTORY AND TRANSFER TO:
REASON FOR REQUEST:
LOST — SEE POLICE REPORT ATTACHED
APPROVED BY: DATE:
PRINT NAME PETE LUBERT /1
DIVISION DIRECTOR APPROVAL: CiAK ,
PRINT NAME CL RK MARTIN
We
OMB FORM REVISED 11/99
09/16/04
MONROE COUNTY
PAGE 1
1501-147
SELECTION CRITERIA: assets.assetid='1501-147'
SORT SEQUENCE: assetid
ASSET ID DESCRIPTIVE INFORMATION
ACQUISITION INFORMATION
DEPRECIATION INFORMATION
1501-147 RADIO
FUNDING 125
CAPITAL ASSET Y
EST LIFE DEP LIFE 5
-000 MFR MOTOROLA
CLS M
VENDOR MOTOROLA.
INC.
DEP Y POST DP Y DEP METH SL
MODEL HT1000
CAT 505
PO 208079
UNITS 1
ORG/ACCT 89501 530590
S/N 355AZS3627
LOC MK-M21
CHECK 22746
UN CST 854.15
SALVAGE VALUE
FUNCTION 5200
ACTIVITY 5250
MULTIFUNC
.00
ACCUMULATED DEP 654.85
INVENTORY DATE 05/28/04
FUND TYPE
G ACQUIRE 11/25/99
COST 854.15
REM BOOK BASIS 199.30
CONDITION GOOD STATUS
DPT 13000
INS CO T
:..
DEP BASIS 854.15
854.15
NEXT SCHEDULED MAINTENANCE
09/29/03 GRT GE9803
INS VAL
.00
LAST POSTING DATE : 09/30/03
CUSTODIAN 69
LOCATION
BCVFD RESCUE 9 :I;!=',
SALE AMOUNT
REMARKS LOST*
LICENSE #
.00
RETIRED DATE
TFER FROM/TO FR 13503 TO
13000
REPORT TOTAL 1 RECORDS SELECTED
.
COST
854.15
INSURANCE VALUE
.00
'ANK
.
SALVAGE VALUE
00
ACCUMULATED DEPRECIATION
654.85
SALE AMOUNT
00
f'
RUN DATE 09/16/04 TIME 16:17:19 PENTAMATION GOVERNMENT SYSTEMS - FIXED ASSETS -- VERSION 5.2
OFFENSE REPORT MONROE COUNTY SHERIFFS OFFICE
MCS0040FF008683 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Printed On: 09/17/2004 @ 15:51
Offense Number Offense Description CAD Incident No
MCS0040FF008683 37-0 INFORMATION/INTELLIGENCE REPORT/MOIR MCS004CAD088544
Range of 09/16/2004 17:04 Reported Arrived Completed
Occurrence: 09/16/2004 17:04 09/16/2004 17:04 09/16/2004 17:36 09/16/2004 17:57
ADDRESS OF OCCURRENCE
No. Di Street A/L City ST Zip
28 EMERALD DR BIG COPPITT KEY FL
(GEO)
1-1-0600-
PERSONS
[C /COMP ] MNI ID: MCSOOlMNI113717 [ SSN
Last First Middle Title H R S DOB Age
LUBERT PETER S N W M 12/24/1941 62
Extent of Injury: N/A Verify For Rape Exam: No Treated For Rape Injury: No
Hgt Wgt Eyes Hair I.D. No. St Type
' 0
Residence: Within jurisdiction
Birth Location: City: County: State: Nation: Citizenship:
Addresses:
* none found in MNI *
Occupation-
* none found in MNI *
--------------------------------------------------------- -------------------------------
CHARGES/OFFENSES
- ------------------------------------------------------------------------------- ------------------------------------------------------------------------
Statute: 777.777. Counts : 1 UCR: NCIC :
Charge: INFORMATION REPORT
Desc :
General Offense Code... (GOC) :
Arrest Charge Level ...... (ACL)
Arrest Charge Degree ... (ACD)
Arrest Offense Number.(AON)
g [ S7031 09/16/2004 18:39
MCS0040FF008683 Page 1 of 3 ]
OFFENSE REPORT MONROE COUNTY SHERIFFS OFFICE
MCS0040FF008683 _ _ _ _ _ _ _ _ _ _ _ _ Printed On: _09/17/2004 @ 15:51
Offense Status Yes — Cleared Reporting Officer
Closed # Clearances i 1203 SOMMERS, VAUGHN L
Clearance Date 09/17/2004 MCSO\ROAD PATROL - SECTOR 1
Warr./Arr. No. Clearance Type Exceptional
Except. Clear. Type *Forward for Approval / Followup To
Age Classification ADULT
Date Entered NCIC: Date Removed NCIC:
Supervisor APPROVED Case Screening Supv. Investigator
VAUGHN L SOMMERS
No Concur No
Date Time No Pt1F/U No
09/17/2004 15:51 No InvF/U No
Date Time
Report Last Modified 09/17/2004 15:51
MCS0040FF008683 Page 3 of 3 [ S7031 09/16/2004 18:39 ]
MONROE COUNTY
"COMPUTER RELATED EQUIPMENT"
INVENTORY DELETION REQUEST
TO: Divina D. Speer - Stop #8
Property Clerk, Finance Dept.
DATE:
FROM: HOLLY ELOMINA, Manager
Administrative Services
YLC.:
I.D Number
Serial'
Number
Asset
Descr 'tiQn
Date
Purc�insed
Oryginal
Prese>btt slue
0601-348
11574819
Laptop Computer
11/28/95
$2,360.83/$0
0601429
6733BK52P847
Compaq Computer
9/30/97
$1,590.80/$0
CHECK ONE (1) APPROPRIATE LINE BELOW
APPROVAL TO ADVERTISE FOR BIDS.
X70M APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO:
REASON FOR REOUEST:
Lost — Please see attached police
APPROVED BY: '
PRINT NAME:fELOMINA
DIVISION DIRECTOR APPROVAL:
PRINT
TECHNICAL SERVICES APPROVA
PRINT
DATE:
OMB FORM REVISED 11/99
t I0- 2-04; 1:41AM;K W Police Records
FLO..0100 ` _,_•_ _• --_ • 8r�0091 047 # 2/ 6
.. RVQRTED DATE O ✓
TIME
2 O _ Q �� 7111E O t /M. T
MOMENTMOMENTwE COMRE7
OTt TYPE 1. FELONY 1 Ff1.ONr -
3- ` - FWM cAr y ; A MmmuEn" L ORDMLINM M On"
IG L V OffFWA TYPE
� p Z TM1E pAY. 9
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10. NCIOENt LOCATION O COIAIR® NGXA7CIt coo¢
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L ti 71 IDBITIfi61 � .
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t. /BgON M.TFT(VIE1AIEd a NJ a AGE TIES. AOORFSg
AR. OfY RES, h10NE S a tOC1t CONTACT ADDRESS RtJS. AOORESY
tS _ CITY
W4.1t10t1E
1. LAST f1AMF. FYIST. L IAESIOENM AOOF"S
Mf.I CITY STATE
OfF1:715E L NJ5/1ES3 ADDRESS 11ES- p1pNi ,
ro I Otto •n D n D0111 CITY a USUAL.00CWA710N L 6tIS, p1ONE
SS 7�R1AWAD OY ON OFATA
E«
S L CtTat]1S7IIP
El 11. DOMAGE , 11 RACE/SDI L ►aC10.AME II ALl .
E T G t t• la 1tGT. /a TYGt. 15. Ere COLOR K wut
Il A
I1 tf. SS •
1: IJIST NAME RRST. LMOOI.E 20. OCT$ 0
2. RESID[JtCE ADDRESS Mt. I CITY .
- STATE00
AES ppNE
S M OFFENSE OAK•AiOq .. INJSINESS ADORE$$ '
U I O At 0 02 a ry SOTt ' C17Y S. USUAL OCCUPAT" C. 81/5. p1DNE
p S, T. MLAMM Ely ON O FATAL 1 CITRENSt11r
f. H1pWIwE El n. pOti/AGE 17 flACFJSEX 13. I1cr-
to A.J
Cm I J. CLOTHING, JEYIE7RY, µMIN f1 WGT Is EYE COLOR to RMA
T G ERISMS. OIMNCTEAISnCS 14. SGJ15, MARKS. TATTOOS DFFOItµTTES
M K,1A 20. 08TS 0
nt rK t : w P4
JSwI•j�7I .0 00 i 0 O 1 aLA.awv.N 2 I UI Q a : ; ...t.M..ccau...<w .'
O' , mcw- a o i W 0 a i wY.Y O O: �FOnM a .] i .IKR tt E[1K a o 1 ewn o O• tCO.1 Q
'fir O . OUNt ] �'oEUr(O T
O O .011F/OtDC l5 O 0 1 OWtEE J Moor 7 OMY 0 0 C 00
i'YOw
O ,. IOOOFSSm O O, lAYY01lA` a 0 s. TIM.1p O 0 1 GOLD 0 O a A..GA,I p p. tOVO 0 0 I :YUIPvr
O I SMID 0 , .ItAAnO O 0 1 C . 0 a 1 56/t 0
0 f W 7 0, SgCp{.1N1 O, 4fW0 a D I Df:W.MEy 0 a' t Woty O D f LaPi O M
w OKE�/Q+.lr O O w O 0 O t /AECREO r A-C TT: ,wFwS T�rM t O 0, MFMOuf O O t .Nsr. 0 µ�
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10- 2-04; 1:41AM;K W Police Records
F
- ! F
;8091047
t 2 1 y a. nc�.vrcn� mrvmm�nvn
-O 2 FIT 0
O I. RAISING e o 1. RUNAWAY O ❑ S. ENDANGEREp t 2
S R L' ❑ 2 RECOVER 00T MISSING O O 2. PARENTAL O 1 2NV//
/�]j q
S
O 6. DISASTER VICTIM
O O 3. MISSING AND RECOVERED O ❑ 3. INVOLUNTARY O O 7. VOLUNTARY ADULT. O ❑ 0. WA O O
O ❑ 4. DISABLED
S. LAW ENFORCEMENT
_ O O B. UNKNOWN ❑ ❑ 1. VOLUNTARY
O 4. FOUL PLAY SUSPECTED? S. PERSON MISSING PREVIOUSLY?
CUSTODY
N N
1 2 t 2 O O 2. LOCATED NOT O O
S. RETURNED TO
C'
RETURNED
O O 1. YES ❑ O 1. YES O ❑ 3. UNKNOWN O
PAITENT/GWRDIAN
O D 2. NO O 3. HOSPRALIZED O La
O O 2. NO
7. DECEASED
❑ O 4. HRS CUSTODY O • O
99. OTHER
$ f
WILL THE VICTIM PROSECUTE? S ❑ NO D.ARE THERE ANY KNOWN WITNESSES TO THE CRIME?
O A
OYTENW'
C HAVE ALL KNOWN WITNESSES BEEN IDENTIFIED? p NOU.
HAVE ALL KNOWN WITNESSES BTERVIEYVED? �YE�L❑ NO
V T
E. DO WITNESSES HAVE INFORMATION THAT IS VALUABLE TO THE INVESTIGATION? O YES F. WAS AN ARREST MADE? O YES �Jr
O
N
G. ARE ALL KNOWOFFENDERS IN CUSTODY? OYES O
A
H. CAN THE SUSPECT(S) BE LOCATED? O YES
B R
I. CAN THE SUSPECT(S)BE NAMED? O YES IF YES EXPLAIN HOW AND BY WHOM S USPECT
S
WAS NAMED.
J. CAN THE SUSPECT'S VEHICLE 8E DESCRIBED? O YES 6
K CAN THE SUSPECTS vajCLE-BE LOCATED? DYES p
L
L HAS THE SUSPECT'S VEHICLE BEEN IMPOUNDED? O YESV115
I
M. HAVE COMPUTER ENTRIES BEEN MADE? O YES 01jar
I/. IS THERE A SIGNIFICANT MO?
T
O IF YES PI/T x W Box
Y
O. ARE THERE ANY UNUSUAL CIRCUMSTANCES OR FACTORS SUCH AS LIMITED OPPORTUNITY, LARGE AMOUNTS OF TRACEABLE PROPERTY
PROPERTY OR U► IOUE MO WHICH WOULD ASSIST THE INVESTIGATOR?
IF YES E%PWN I4 THE NAfIiATNE TAKEN,
UNIQUE TYPE OF
S • STOLEN x•SEIZED
1. CODES F - FAILED TO RETURN 2. VEHICLE/VESSEL
TYPE
A - ABANDONED R • RECOVERED 00T Y - STOLEN AND MCOVERED D 1. AUTO
1. INP(M)NDED . H - RETURNED TO OWNER O 4. CAMPERyRV
0- OTHER NRSONIDAL4AG
O 7. BOAT
O 2- TRUCKNMI O S. BUS
IN U - USED CMW V • VICITMRHFiT/ATT THEFT
D B.
3. VIN 0 / HULL J .03. MOTORCWfCLE O & TRAILER
4. DECAL • _ ..... - - - -
D 09. OTHER
V
6. MAKE
7. MODEL
JIL YR.
E
H
13. VEH XII COLOR TOP
BOnO11
CCODE
COLOR RANGE
CODE QO9 RANGE
L
1. BLACK
10. FIEWAAA00"
2. DARK BLUE
11. PINK
O
3. LT. NAVAQLMRIJRDUOISE
12. BEKWJTAN
R
4. DARK BROWN
13. WHTTEACiEAM
LT. DROWWBRONZEICOPPER
14. YELLOW
V
65..
PWIPLE
MORANGEJGOLD
E
7. DARK GREEN
99 OTHEfVLINIpNpWN,
IL LT. GREEN/LIME/OUVE
S
A GRAY/SILVER
s
E
15. ADDITION&• DESCRi1PTKNN
L
I I SPECIAL VEHI(XE FEATURES
CODE FEATLM .
D 1. LEVEL ALTERED
O 2. STICKEPMECAL ON BODY15LIWER
O 3. STICKEIVXCAL ON WINDOW
O 4. RUST OR PRIMER SPOTS
O S- PAINTED N!$( PopT1pN ON BODY
O 6. DECORATIVE PAMTT
D 7. MISSING PARTS
0 B. WINDOW BROKEN
O 9. DAMAGE TO FRONT
CODE
F-FOUND
•• �•• nelv"NtV To OWNER
P - F'EHSONAL K . PHOTOS TAKEN PROPERTY
P
D -DAMAGE
VALM RETURNED TO OWNER
2.
PROP.
3.
PER/W
4.
ON
S
DESCRIPTION OF ARTICLE
&
P .
CODE
SUS s
SERIAL IF. MODEL, BRAND NAME ETC.
VALUE
Y
p
F
/
gi s5ta
C
1. 10 REQUESTED? 0�1 E5
2, SCENE PROCESSED? O YES
N
4. LATENT$ O YES
O
8. EVIDENCE TO
7. ID TECHNK30
E.
S. PHOTOS OYES
PROPERTY
D
t. DRUG ACTIVITY
O NO
R
O N- WA
O K- DISPENSEOSTRIBUTE
O R - SMUGGLE
O S• SELL
(3EIPROCE/ 8- BIN
O D • DELIVER
O M- MANUFACTURpU
❑ T- TRAFFIC
G
O E- USE
O P- POSSESS
O U UNKNOWN
3. ACTIVITY
14.
14. DESCRIPTIc1M
O Z- OTHER
1 ❑
33. IF OOT RECOVERY - MSG. /
11. YR. 1 /2.
O 10. DAMAGE TO REAR
D 11. DAMAGE TO SIDE
O IL BODY PART($) DIFFERENT
COLORS
O 13 VINYL TOP
O 14. EXTRA MfTENNAM OR MIRROR
O IS. SPECIAL R IMSMRES
❑ 1& LAUD MUFFLER
O 99. OTHER/DESCsM BELOW
JNRE, ADDRESS. STATE. ETC.
Fa
ti -
E- EVIDEI*r4SEIzEo 1. PROPERTY RECEIPT • --- ..-
Y • STOLEN 6 AEC.
A•ARSON
?. 3. 4. S.
PROP. PER/ 6•
!. CODE SUS • OUAN. SER/AL�BRAND NAME. ETC VALUE
TOTAL VALUE (IF CONTINUATKkI LEFT WITH
OR DAMAGE VICTIA, MAKE AN ESTRMATi7 � •+ram
3. WAS R'HYSICiSL EVIDBNL3=OBTAINED FROM THE SCEZIE? O YES�g�
PIN J / UNIT • 8. FlRST OFFICER ON SCENE / PIN I / UNTT J
p N - WA
O A - AMPHETAMINE
O E - HEROIN
O P - PARAPHERPL
MT
NEl
B - BARBITURATE
O H-
HNJJJ
D M -MAALKAAA
SYNTHETIC
O C-COCAINE
D 0.OPIUM/DERIVATA/E
yVry
D U- OTHER
O 2 •OTHER
6.OUANTRY
7. UNtT
8. ESTIMATED STREET VALUE
N
F
- ----- ...�
..ca�.nirllvN
-
OUAHTITY UNIT
a
ESTIMATED STREET VALUE
O
ACTIVITY TYPE
DESCRIPTION
S
OUAMiTY UNR
ESTIMATED STREET VALVE
1 WEAPON TYPE USED
S
C 01 N'A ?
?
?
2. WEAPON
FEATURES
E
E
L' 01 HANDGUN -
02. `
n
-=
C
os BLUNT OBJECT
00T8. OISON iFEE7
l2 ..
.. ..
13 S-1 LATEO
13 DRUGS
1
C
2
❑
1. CHROM E/MCKEL
t
O
2 1
O 7. DOUBLE BARREL
2
A
0
= C 03. SHOTGUN C
SHOT
O
09. EXPLOSNES
t7 U
M. UNKNOWN
C
G
2. BLUE STEEL
❑
O
D B. SINGLE BARREL C
BARREL
O
14. LG. BORE
.13
u 04 FIREARM L
O5. 1WIIN-
10. FlRFJINCENDURY
.. ❑
99. OTHER
(NARK.)
O
O
C
Cl
3. AUTOMATIC
4. REVOLVER
❑
G S. SAWED OFF O
O
O
11. SM. BORE
99. OTHER
O
TINGTWG IN
11 THAEATANTIMIDATION
f]
U
5. SHORT BARREL
❑
O
❑ 10 PUMP
❑ BOLT
DESCRIBE
N
3 CALIBEA�GAUGE a MAKE
S SERIAL r
C
O
6. LONG BARREL
O
11. ACTION
O Q. ALTERED STOCK
6. BARREL
LENGTH
7. MODEL A
0. COLOR
9. TYPE OF GRIPS 10. BUTT
11.
q J /pr
/,
;8091047
MA.
B
U
R
G
L
A.
T
H
E
F
EJ
A
T
T
E
M
P
T
IS
i'O- 2-04; 1:41AM;K W Police Records
1 •ENTRY EXIT 2_ PROPERTY TARGETS 13. METHOD OF BREAKING
3 10; FRONT O
O" 1. BUSINESS
❑ 1. BREAKICUT GLASS
) 20. REAR D
MACHINES
O 2. BREAWREMOVE.DOOR PANEL
) 30. SIDE D
D 2. BEERILI000R
O 3. CUTIE NE&IOT JC
❑ 3_ CIGARETTES
0 4. CHOPPEDISMASH
) I. DOOR ❑
❑ 4. CKSJCHECK
O 5. CUTIBREAK SCREEN
0 S. HID IN BUILDING
1 2. WINDOW ❑
MACHINES
O 7. IOCKIPUSH
1 3. SUDING DOOR O
O 5. CLOTHING
❑ S. PICK LOCK
1 4. DUCTNENT . ❑
O 6. ELECTRONICS
O S. PRIEDIJIMMIED
1 5. ADJ. BUILDING 0
O 7. FIREARMS
❑ 10. REMOVE JALOUSIE
1 ROOF O
O t. FOOD
O 11. REMOVE AIR CONDJFAN
O 121 REMOVE WINDOWIDOOR
1 7. WALL O
O 9. JEWELRY
❑ 13. SMASH GLASS -TAKE
1 6. GARAGE DOOR ❑
O 10. TOOLS
MERCHANDISE
199. OTHERIUNKNOWN O
O 99. OTHERS
O 14. UNLOCIQ )/NO FORCE
O 99- OTHER
7. BURGLARY ELEMENTS
1. ALARM INOPERATIVE
2. BURGLARIZED DURING LAST 12 MONTHS
3. ADMITTED STRANGER OR TRADESMAN DURING
PAST 7 DAYS (BE& BURGLARY)
4. TELEPHONE SURVEY. UNUSUAL CALLS. WRONG
NUMBER, HANG-UPS DURING PAST 7 DAYS
i TENTED. UNDER CONSTRUCTION
A. SAFE OPENED/ATTEMPTED
99. OTHER
8. SUSPECT'S ACTIONS
D 1- ATFJDRANK ON PREMISES
O 2. BROKE INTO COIN OPERATED
MACHINE
O & BURGLARY NOT COMPLETED
O 4. DEFEATEWATTEMPTED TO
DEFEAT ALARM
O 5. DEFECATED
0 6. DISTRACTED VICTIM
O 1. IMPERSONATION
O 0. KNEW LOCATION OF HIDDEN CASH
0 9. LEFT TOOLS ON SCENE
O 10. MALICIOUS DESTRUCTION
a 11. NEATLY SEARCHED
14. INSTRUMENT USED
❑ 1. BOLT CUTTER
O 2. BAICK/ROCK
O 3. CHANNEL LOCKS/
VICE GRIPS
D 4. CHOPPING TOOL
O 5. CUTTING TOOL
❑ S. CUTTING TORCH
❑ 7. FEET
O 6. HAMMER
O 9. KEY
O 10. PRYING TOOL
O 11. SAWIMLL
O 12. SCREW DRIVER
❑ 13. TAPE
O 14. VEHICLE
O 99. OTHER
CRIMES AGAINST PERSONS M.O.
T. TMAPTIONE
2. SUSPECTS ACTION (ROBBERY ONLY)
M.O.
R
O 1. CALLED VICTIM
13 1. ASSAULTED VICTIM a 9. PUT MONEY MN BAG
A
IAFTERt
O 2 PUL1 Ep OUT CORD
O 2. ASK FOR OR BINS O /0. SEX ACT INMOLVED
MERCHANDISE
P
O 3. SUSPECT USED
a 1 t. SHOTS FNTED
a 3. APOLOGETIC o 12. USED LOOmm
E
1
VICTIM'S PHONE
0 4. USED CORD TO TIE
O 4. DEf MINDED JEWELRY O 13. USED MAST(
R
VICTIM
O S. • ADE THREATS 17 14. USED NOTE
O
O 99. OTHER
O 0. OTHER THEFT INVOLVED O 15. USED STOLEN CM
O 7. PROSTITUTION INVOLVED D 90. OTHER
°
104. PARSE SNATCHIEO
°
E
4. FORCED VICTIMS To
5. FORCE USED ON VICTIMS
O 1. DISROBE
# 4/ 6
5. PREMISES SECURED
DATE: "
TIME.
6. TYPE OF PROTECTION
O 1. LOCKS
O 2.`BW
O 3. SILENT ALARM
0 4. AUDIBLE ALARM
O S. LISTENING DEVICE
❑ 6. MOTION DETECTOR
❑ 99. OTHER
8. CRIME SCENE ISO.
O 12: PIGEON DROP
ID REQUESTED a YES O NO
O 13. RANSACKED ENTIAEL.Y
IF NO EXPLAIN WHY
D 14. RANSACKED PORTION
b I& REMOVE PRINTS/MIORE
O 1. SCENE WET
O 0. ALREADY CLEANED
O 1& TRICKERY
BY VICTIM
O 17. TRIPPED ALARM AND
0 3. SURFACE NOT CON.
RETURNED LATER .
DUCIVE TO PRINTS
0 1$. TURNED LIGHTS OFF -ON
O 4. CONTAMINATION
D IS. USED TOOLS FOUND AT
EXPLAIN IN NARK. .
THESCENE
(3 99. OTHER
10. VICTIM WAS
0 1. HOME
O 2. WOw
0.3.
04.
3. VICTIM IS (WAS)
--
D 1. ABOUT TO ENTER
a 7. INTOXrATED.
HOME
a & OPEI IHICOCLCSING
O 2. ALONE
O 3. ELDERLY
BUSINESS
O 4. GAMBLING
9. RETARDED
0 5. GOING TO BANK
a 99. OTHER
0 & HANDICAPPED
6.IMPERSONATEp
O 2 ENTER CAR TRUNK
O 1. ABDUCTS
a 2. BUNDFOW VICTIM
O 7. CUTWABSED VICTIM
O 1. CUSTOMER
H
O 3. ENTER RE
O 3. BOURN) VICTIMO
O 0. GAG VICTIM
O 2 DELIVERY PERSON
O
GEf MONEY FROM
FP40M BA
O 4.BANKFAMILY, ETC.
❑ 4. BR VICTIM
9. HIT VICTIM
O & DISABLED MOTORIST
M
O 5. GO TO ANOTHER LOCATION
O S. COVERED VICTId'S
Q 10. SHOT VICTIM
O 4. DRUNK
0 & UE DOWN
FACE
D 11. THREATS ONLY
0 S. EMPLOYEE4%WLOYER
C
O 7. OPEN SAFE
O 0. CHOKED VICTIM
0 99. OTHER
0 S. FRIEND
1
O &PUT PROPERTY IN SACK
O 7. INJURED
D
O 9. REM OF BUILDING
0 S. POL CEAAW
E
7. SOLICITED. OFFERED
10
9. RELATIVE
a
8. CHARACTERism
OF SUSPECT (SE% CRIMES kx"
A
T
O 1. AID FOR CAR
O 7. GIFTIPWZE
93 1. ANAL SEX
T
0 2. ASSISTANCEWORMATION
O 6. MONEY
O 2..APOLOGETIC
E
0 i CIGARETTE
O 9. PROSTITUTK*USE(
0 3. CHILD MOLEST
M
O 4. CON GAME
O 10. RIDE
O A. EJACULATED
P
T
O S. DRUGS
0 11. USE OF PHONE
O S FOUL LANGUAGE
O & FOOD. DRI*M. CANOY
O 99. OTHER
0 & GENTLE
S
STATUS TYPE O I. FORGED o 2. COUNTEAFETT
W 1. 01ECK NO.
O
R
T
H
L 1 CHECK PAY
E
S
D S. 6A1ac DRAu
O
C
U
M 7 ACCOUNT
E
N
T
S
S. DINERS LN
11. 011-1EA LD
0 7. MAKES THREATS
a 3 FORGED AND
0 9. ORAL SEX
❑ 9. MASTURBATED
0 10. RAPED MORE THAN
ONCE .
O 11. RWPEDICUT CLOTHES
0 1L UNABLE TO ACHIEVE
LITTERED 0 4. COuNlLFWellED AND UTTERED,
O 10. RENTER
O 11. REPAIRYAAN
O 12. SALESMAN
Cl 13. SEEOING Alp
O 14, SOLICITING
O 1& SURVEYING
❑ 91 OTHER
0 13. UNUSUAL ODOR (BODY
ODOR. SMELLED GOOo, ETCa
O 14. USED LUBRICANT
O 1& USED VICTBM'S NAME
O 16. VIOLENT .
u a. mwwv-v vM&K O L ATMIDEBIT CARD O 7. PRESCRIPTION
0 2. CREDIT CARD 134.6. TRAVElERs CHECKS 4. BONOICEATIFICATE O 6. IDENTIFICATION 13 99. OTHER
CHECK CRIME SCENE SPEC►FICS
t AMOUNT
f
1. CAN OFFENDER BE IDENTIFIED? O YES O NO
2. OWNER OF CHECK NOTIFED? O YES O NO
IF YES, NAME
3- THEFT VERIFIED? ❑ YES O NO
77IF YES.
c sIGNATTl1iE ON FACE µAKEPo CASE NUMBER
P.O.
4. WAS OFFENDER ENDORSEMENT OBSERVED? ❑ YES ONO
S. WAS OFFENDER(SI PHOTOGRAPHED? DYES ONO
I. OWNER OF CHECK (PERSON OR COMpMNYI 6. FORGERY AFFIDAVIT OBTAINED? O YES O NO
7. HAVE THE ORIGINAL DOCUMENTS BEEN PROTECTED FOR
EVIDENCE? O YES ❑ NO WHERE?
TYPE OF IDENTIFICATION USED
CREDIT CARDS
13 CARD NUMBE
15
i1
fO- 2-04; 1:41AM;K W Police Records ;8091047 # 5/ 6
'a,
J'A' Ar
AIN
OFFICER ASSAULTED KILLED
a 1. w"m pxm RJONOUS
CIX ORFICM NUMP ACCMHT 00
0 1. FAMPONOM-To amrinp"m
0 1 WWANINQ
AND 0"EMNO IN
0 TPANSPONMML
W. OTHER
0 & OAMCM ASSAMTM NO BUM
"MAESS 04 FyPaUM
BAND a atmoo=
CUSTODY OF PMMM
04. ASSAMIM. MINOR
ROBBERY IN PROGREU Cot
ft
NAM
MAMAn ROMMY
MYCOOM Oft CMCUMSTN$=
0 L OWOM ASSMOLTIED. 38110US
vjsm=
0 4 ATTEIIAIM4 OTHER ARREST
0 0- MMKISH. NO WNU040
KAM
S.ONX Ok.AwX>EIt
0 M ASsAAMT MENTALLY oCkm4M
3. TYP* OF ASSIGNMENT
a I I. TRAMC Puftsw on lime
0 1. CW PERSON VEHICLE AI.0K
0 1 DETECTIVE OR SPECIAL
4.1ANSVYER ALLy
N
UNK 14
0 L ONE Putsom va*aJE.
. ASSION&IIENT. ASUSTEO
WA3 CFFICIER VW-4ANG BODY ARIAOR?
DIG ARMOR PREVENT SERIOUS IOW OR MAIO"
a
E3
0 C
Mstsm
0 4. TAAFM4AOTORCYCLj OFnCEa
WAS OFFICER AWARE OFFENDER TWO WEAN"
a
a
0 C
0 S. TWO MOON V00CL;
0 7. OTHM ALONE
DID OFFEND01. USE OFFICMS WEAPON?
0
t3
a C
0 N. DETECTIVE OR SPECLAL
0 N. OTHM ASSISTED
WAS A nREAM DOSCKARMD CBy OFFEMOO
a
0
0 C
ASMONIAENT. AU)NIE
a
a
0 C
S. WAS OFF IMAMED7 OM ONO o
DISTANCE FROM OFnCER IN FEET MSTOAAM
OMM Of NO-WKS TO CFFENDER
OFFE40ER
WAS A FIREARAA DISCKqKum By THE OFFICER?
0 Of. WA 0 M MOCCRATE
a D4 TA(
B. OFFICEA EXPEMENCE Ok YEAFM —AGE
0 go. MINOR 0 03 SawKq, -
/I
7. ICERASSAULIED BY OFFOIDEAWSPWT #
ID MUmbw(s)
4,00*
10 M.-b" 7 PAut" To N. RvIwwd T.
19
I M101.6d T. y
B
—
jo -,
Z/
- " Z
10- 2-04; 1:41AM;K W Police Records
;8091047
Page, l of 2
Gerald Land
From: Holly Elomina
Sent: Thursday, September 04, 2003 3:38 PM
To: Gerald Land
Subject: FW: Inventory
What is the status on these items? Everything was located last Year,
switched around. We need to notify her ASAP, as she is putting her final report together e If they are have been
then we have to advise her we cannot find them. Please call me and let me know how we should proceed.
-----Original Message---- . Y are not here,
From: Diviria Speer [m ilto:dspeer@monroe-clerk.com]
Sent, Thursday, September 04, 2003 3:34 PM
To: hotly elomina
Subject: Inventory ,
Holly,
There are 4 computer that are stin missing from
your department:
ASSET ID' 0601-34t3 - 0
DATE ACQUIRED 11/28/19
DESCRIPTION LAPTOP VV
FUNDING SOURCE 001 ate'
MANUFACTURER TOSHIBA
MODEL T2135CS C
SERIAL NUMBER 11574819
LOCATION KW 13 EAD HULA CAR13ONELL l UNIT COST 2360.83 1
•v `
ASSET ID 0601-429 -
DATE ACQUIRED 09/30/1 7
DESCRIPTION COMPUTE COMPAQ P166X
MANUFACTURER COMPAQ
MODEL P166X / DP2000 --
.SERIAL NUMBER 6733BK52P847'
LONIT COST CATION PK P �$ VO CKY W/v <�
1590.
ASSET ID 0601-468 - 000
DATE ACQUIRED 09/15/1999
DESCRIPTION COMPUTER
MANUFACTURER COMPAQ
MODEL S Y3 0048�
SERIAL NUMBER ER S69336933GY36
LOCATION _MTHN TOWNE SQR MALL RAY ADAMS ` UNIT COST 933.00
ASSET ID . 0602-346 - 000 DATEACQUIRED 07/21/1998 Alkn
DESCRIPTION LAPTOP .
MANUFACTURER TOSHIBA f
MODEL 335CDS
SERIAL NUMBER 78852210Ai
LOCATION KW 1315 WHIT EAD/PRETRIAL
UNIT COST 1999.95
9/5/2003