NOTICE OF EQUIPMENT TRANSFERSURFLUS GEOROIPA *** YOU MUSTNOWI INCLUDE PHOTOS OF ITEMS FOR SURPLUS OR REMOVAL *** THE Public Relations (1570) DEPARTMENT IS1 TRANSFERRING THEE FOLLOWING FIXED ASSETS: DESCRIPTION: 2005 Ford Expedition EDI Bauer SERIAL# 1FMFV185451A81316 ASSET# PAI OPERABLE Y/N N Mileage:220,000 Past its usefull life as a county vehicle, Loud Grinding Noise, Leaking oil, Engine Ticking (CHECK APPROPRIATE: SELECTION BELOW FOR TRANSFER OR SURPLUS) THE FIXED ASSETS LISTED ABOVE WERE TRANSFERRED TO THE. DEPARTMENT. THE FIXED. ASSETS LISTED ABOVE WERE: TRANSFERRED TO' THE! MOTORE POOLPUBLICWORKS DEPAR This form goes to ther receiving department alongy with the equipment.. After receiving department gets allo of the equipment being transferred, sign this form and forward to thel Finance Department. Att this time the equipmenti is tob ber removed from the transferring department's fixed assets and added tot the receiving, department's fixed assets. Plense forward the Finance Department an updated copy ofy your current fixed asset/ inventory lists. THE FIXED ASSETS LISTED ABOVE WERE SURPLUSED TOTHEL DEPARTMENT CHECKED BELOW. SURPLUSED TO PARKER RD. BUILDING (FURNITURE EQUIPMENT COMPUTERS, ETC.) Eligible for disposal or recycling. (must include disposal affidavit and photos.) NOTIFY THEI MAINTENANCEDEPARTMENT FOR PICKUP AND REMOVAL. OR X_SURPLUSED TO FLEET SERVICES (VEHICLES) SURPLUSED TO FLEET SERVICES (VEHICLES) AFTER THE BOCAPPROVALITISTHE RESPONIBILITYOF THE TRANSFERRING DEPARTMENTTO TRANSFERRING DEPARTMENT: YhA IPONALNPAENENT HEAD 13(04 DATE IFSURPLUSED: RECEIVING DEPARTMENT: ELECTED OFFICIAYDEPARTMENT HEAD - 879624 DATE BOARD OF COMMISSIONERS ACTION (APPROVE /DECLINE) DATE sure po ERS YCLINEOFMED