Equipment Inventory Form
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1
2OSMB Form B9
OREGON STATE MARINE BOARD
“LET’S GO BOATING” GRANT PROGRAM
EQUIPMENT INVENTORY FORM
(Instructions on reverse)
Project Number: RBS _______ - _______
Date: __________________________
Project Title: ___________________________________________________________________________________
Recipient Name: _______________________________________________ Phone: ___________________________
Prepared By: __________________________________________________ Signature: _______________________________________________________
(Print name)
Name of Title Holder
Date
Serial# or ID#
Vendor
Item Description
Amount Paid
Location of Use
(if applicable)
$
$
$
$
$
$
$
$
$
$
$
0.00
Total:
Attach additional page(s) if necessary
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Parent category: Business