Form Dn-Ar - Surplus Property Disposal Request/record
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1Code: DN-AR
Revised/Reviewed: 01/11; 2/21/13
Woodburn School District 103
Orig. Code(s): DN-AR
Surplus Property Disposal Request/Record
G AIS
G Bridges
G CLC
G WAAST
G DO
G FP
G VA
G WC
G WACA
G WeBss
G WHS
G SUCCESS
G HE
G LN
G NM
G WA
THIS FORM MUST BE COMPLETED FOR ANY ITEMS BEING DISPOSED OF
A.
Requester’s Name
Date
B. ITEM INFORMATION
QUANTITY
DESCRIPTION (make, model, serial number, if applicable)
ESTIMATED VALUE
Total Value:
C. DISPOSAL APPROVAL
Principal/Supervisor Signature
Date
District Signature
Date
D. DISPOSITION RECORD
G SALE
Vendor Name
$ Amount (Remit to Business Office)
Date
G DONATION
Organization Name
Date
G RECYCLE
Date
G DISPOSAL
Date
Explanation of action taken for disposition:
Date of Board Notice:
Original - DO
Copy - Maintenance
Copy - Building
Surplus Property Disposal Request/Record - DN-AR
1-1
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Parent category: Business