pALE NOTICE OF EQUIPMENT TRANSFER/SURPLUS GROnGIR *** YOUI MUST NOW INCLUDE PHOTOS OF ITEMS FOR SURPLUS OR REMOVAL *** THE Rockdalc County Fire & Rescue (3500) DEPARTMENT IS TRANSFERRING THE FOLI.OWING FIXEDASSETS: DESCRIPTION: 2003 Ford Crown Vic SERIAL # FAFP7AW83X131643 ASSET# FD400 OPERABLE Y/N Mileage: 158,083 Past usefull life as a county vehicle, in poor condition (CHECK APPROPRIATESELECTION BELOW FOR TRANSFER OR: SURPLUS) TT FIXED, ASSETSLISTED: ABOVE WERE, FRANSFERRED TOT THE DEPARIMENT EFINED. ASSEI IS LISIED ABOVI WERE TRANSFERRED TOTHE MOTORPOOIPLLLIC WORKS DEPARIMENT This form gues to the receiving department along with the equipment. After recciving department gets alln of the equipment being transferred, sign this form and forward to the Finance Depariment.. AL this time the equipment is to be removed from the transferring department's fixed: assets and: addedt tot the receiving department's fixed: assets. Please furward the Finance Department an updated copy ofy your current fised asset/i inventory lists. METXEDASSEISINTED, ABOVI: WERE SURPLUSED IOTIE DEPARIMENICIECKEDBRLOW SURPLUSED TO PARKER RD. BUILDING (FURNITURE EQUIPMENT COMPUTERS. rICI OR x SURPLUSED TO FLEET SERVICES VEHICLES) ENTERPRISE SURPLUSED TO FLEET SERVICES (VEHICLES) Eligible for disposal or recycling (must include disposal affidavit and photos. .) NOTIFY THE MAINTENANCED DEPARTMENT FOR PICKUP AND REMOVAL. AFTER THE BOCA APPROVAL, IT IS THE RESPONIBILITY OF THE TRANSFERRING DEPARTMENT TO TRANSFERRING DEPARTMENT: RECEIVING DEPABIMENT: - 3 ELECTED DATE IFSURPLUSED: HEAD ELECTED DATE HEAD 2E 05/13/2004 BOARD OF COMMISSIONERS ACTION (APPROVE /DECLINE) DATE 9--497