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Effective 1-1-2010 <br />CITY OF SOUTH BEND <br />Request for Asset Disposal <br />K <br />fixed Asset Disposal Procedure Statement -1-A74LLAX-- <br />All city departments are required to submit asset disposal requests to the Board of Public Works for approval prior to <br />disposal of an asset, Asset disposal requests must include the following Information - <br />Asset description <br />Asset Identification number <br />Year of acquisition <br />Historical acquisition value <br />Net book value <br />Reason for disposal <br />Method of d I sposal (offer for sale, scrap, etc.) <br />The asset disposal request must be signed by the Controller before submittal to the Board of Public Works, <br />Asset Description <br />Asset # 00009609, 2009 Dodge Charger <br />Asset Tag N umber <br />Vehicle number 622 <br />Department of Ownership <br />Police Department <br />Year of Acquisition <br />2009 <br />HIstorl5-4DJA1Z-qu-1-slftV n Value <br />u' <br />$20,957 <br />Valu <br />Ne'tBoo Value <br />0 <br />Reason for Disposal <br />Method of Disposal Donating this vehicle to the Alexandria Police Department <br />(�VVJ 6.PVf6V-(eM 06YX&;k---CV- "*— Tuye- V3, 26t?�) <br />. Approval(s) Name Signature Date <br />Department Head <br />Controller <br />AF Pollcy2.5.1 FixedAsset Form I-B Request for Asset Disposaldoc Rev.020810a <br />Page 1 of 1 <br />