|
Name or Description of Item
|
|
| R.U. Property Tag number |
|
| Item Serial Number |
|
| Manufacturer |
|
EQUIPMENT TRANSFER |
| Previous Location |
| Department |
|
| Building |
|
| Room |
|
Current Location
(Where equipment was transferred to)
|
| Date of transfer |
|
| Department |
|
| Building |
|
| |
|
Other
(Select either trade-in, Scrapped, Stolen, Lost or
Unable to locate item)
|
|
Trade-In
|
List the P.O. Number
referencing trade-in
|
|
|
Scrapped
|
List applicable date |
|
| Stolen |
Date and Location item was last identified |
|
| |
Date item was identified as stolen |
|
| Lost |
Date and locations item was last identified |
|
| |
Date item was identified as lost |
|
|
Unable to locate item
|
Comments
|
|
Prepared by
Date
|
Please print before sumitting report. |