HomeMy WebLinkAboutResolution No. 35-2017 - Obsolete Vehicles and Equipment for Central Services AuctionRESOLUTION NO. 35-2017
A RESOLUTION OF THE SOUTH BEND INDIANA BOARD OF PUBLIC WORKS
ON DISPOSAL OF UNFIT AND/QR OBSOLETE VEHICLES AND EQUIPMENT
WHEREAS, pursuant to Indiana Code § 36-9-6-1 et. seq., the Board of Public Works
("Board") has the duty and authority to have custody, control, use, and to dispose of all real and
personal property owned by the City of South Bend, Indiana; and
WHEREAS, the City, acting by and through the Board, desires to dispose of the personal
property that is more particularly described at Exhibit ",4 " attached hereto and incorporated herein
("Property"); and
WHEREAS, in accordance with Indiana Code § 5-22-22-4, the Board may engage an
auctioneer to conduct a public auction in order to dispose of the City's surplus personal property if
the property to be sold is one (1) item with an estimated total value of $1,000 or more, or is more
than one (1) item with an estimated value of $5,000 or more; and
WHEREAS, the Board has determined that the Property has an estimated value of more
than $5,000, and the Board has ftwther deten-nined that the property is unfit for the purpose for
which it was intended, and is no longer needed by the City of South Bend; and
NOW, THEREFORE, the Board of Public Works of the City of South Bend hereby finds
that the Property listed at Exhibit "A " is no longer needed by the City; the Property is unfit for the
purpose for which it was intended, and has an estimated value of $5,000 or more.
BE IT RESOLVED that the Property may be transferred or sold at public auction.
However, if the Property is deemed to be worthless, such Property may be demolished or junked.
ADOPTED this 22nd day of August, 2017.
Atv",J Z� LLk,
tary A. Gilot, President
Suzanna M. Fritzberg, Member
jak I.J] �
Elizabeth,A:. M �r�aDt c, Member
BOARD OF PUBLIC WORKS
CITY OF SOUTH BEND, INDIANA
Therese Dora*t-lember
James A. Mueller, Member
N)OA I
Attestlinj� M. Martin, Cl4rk
Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
8/14/17
Matt Chlebowski
Professional Services
Bid Opening
E] Quote Opening
El Change Order No.
Ease/Encroach.
Other:
Company or Vendor Name
New Vendor
MBEANBE Contractor
MBE/WBE Contractor
Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of F�
n
Resolution,N),,
Bid Award
Quote Award
El C/O & PCA No.
n Traffic Control
Department Central Services
F� Req. to Advertise
FEME
0 Title Sheet
_LJ Yes LJ No LJ If Yes, Approved by Purchasing
F] MBE n WBE
0 No 0 Yes Name of Company
Obsolete Auction Items
1p,
Declaring the attached list of equipment obsolete.
n Required Contractor's Certification Form Attached (Non -
Collusion, Non-Discrim i nation, Non -Debarment, E-Verifv, Iran, etc.
Increase $
Decrease $
Previous Amount
Current Percent of Change
New Amount
Total Percent of Change. -
Copy
Original
F-1
F-1
Dispersal After Approval
Matt Chlebowski & Sheila Enos
R
I.
C�
rq
00
00
00
00
V)
00
"o
N
m
cr�
0,�
110
Clq
<D
t
�T
00
C)
01%
ON
N
C)
m
00
fn
=�
"
CA
(:�,
'n
W
m
"
C>
M
(7,
�'c
m
"It
(-,I
�q
r-
m
't
m
q
w
't
00
Ln
m
n
00
�t
00
"t
r-
00
cf)
Q
Lr�
m
"o
kn
6
't
kn
�6
cr�
rl�
1,01
M,
C�ll
knl
a
6-
Cq
M
�t
\D
�-
ll�
tn
kl�
00
1=�
CD
�o
M
b
"D
C>
00
C�,
00
C',
M
<D
:;,
00
kn
C)
N
1�
C.)
qt
-'T
00
r-
Lr)
m
M
m
tr)
00
00
W)
m
C)
00
('r-I
a\
kn
6
N
I
It
I-
kn
00
00
00
kn
C)
00
M
m
00
M
(-,1
C-A
cq
F-
m
m
N
00
00
r"
C)
kn
m
"
M
m
m
't
r-
Tr
�,o
a-,
tn
C)
C:�
-7r
CA
M
't
m
W)
m
ko
It
c-n
C�
<=>
2
M
M
M
C-A
C,4
N
00
Cq
Z
ON
C�
ke)
Z:)
c)
r-
'n
Cq
�t
clq
a)
kn
00
W
T
W.-I
04
kn
-4
W)
\0
\,o
00
m
"o
00
Z
r
"
m
M
�4
t_�
W
.,o
r_
_.4
00
\10
M
0�1
In
M
lt�r
-4
m
00
r--
00
kn
kn
kn
Ln
C-q
C:>
M
�t
Ln
W)
in
V)
V)
kn
kn
kn
kn
kn
kf)
W)
V)
kn
V'�
tn
V)
Lf)
(.P)
kn
Vi
tn
kf)
rq
00
<5
tn
kf)
kn
kn
kn
W)
W)
kn
kn
VI
I
I I
kn
kn
0
u
(3
6
z
(3
c)
C3
(S
�5
cq
CA
C'4
C-4
r�
'n
N
clq
cq
cq
C,4
F4
rq
CN
C'I
N
1
cl
4 1
>
4�
4-
7:$
G
4)
(U
(D
Q
0
0
p
0
-61
p
4.1
p
41
va
0
—Cd
—Cd
o
-cl
—d
>
Cd
C3
d
M
On
'I
w
'd
I
I
u
I
P.
P.
P..
in.
P.
i-L
In.,
C.)
H
B
Ell
".H,
;:s
ti
o
C/)
'.)
g.-
U)
UuuQM
u
UUUUUUU
��U,2uuuuuu
u
zu-,::i
�Uuuu
u
U
Ln
k4r)
00
V)
C"
'Zf
'�O
M
�t
Z.-
�O
"0
�'O
W
N
t--
C)
M
0
CD
C)
C�
<=)
C)
C)
C>
CD
C)
C�
C',
a,\
C:�
cz:�
C:>
C)
—
C)
<5
c)
C=>
C:)
CD
c)
c)
c)
c,
C:)
C:,
0�
C',
C5
<5
<5
C:,
C:,
<D
CD
(D
C)
5
C5
N
N
N
"
N
N
C-4
N
C-4
.
.
.
.
.
.
.
N
N
N
rq
N
N
N
N
C14
4
i
4
li5
+i4
+
V)
+
+
415
4�
+4
1-4
0
lu
lu
=
u
u
u
0
0
cu
0
0
ol
u
Q
u
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4.4
PH
P-0
PL,
P-�
P-�
Con
P.,
�>.M
4�4
9L-4
P-4
A-4
A-4
P-4
P-4
P-4
P-t
P-�
P-4
0-1
P-4
P-4
P-4
P-�
PL(
P-4
P-�
9L4
P-(
9L41
C7�
rq
O'�
!t
Ln
N
C)
-�f
t--
m
V)
1,0
00
00
(,,1
C-4
C)
r-
C)
CD
C>
N
O'�
N
kn
m
�t
�t
m
00
�o
�T
�o
M
al�
1,0
00
kn
tn
00
00
C)
�t
00
kn
CD
�t
al�
00
W)
N
t-
r-
r-
M
kn
00
C--
C--
00
00
C:)
00
C:>
00
r-
C,�
m
00
00
110
m
r-
00
C)
al�
00
1�0
r--
(Y)
00
01)
C�
"
t,-
m
C:>
Tt
0
M
C14
C'4
(=>
N
C'-
C)
�t
00
-
N
�O
00
N
C)
%,0
(',I
m
\0
00
'zt
kn
I>
"D
Ln
M
M
tn
N
C>
C�
C>
kn
CD
\0
m
r-
Ch
rn
C)
�T
m
C>
m
":�
"��
t-
C:�
n
0"
'�t
kr�
5
kn
C�'�
N-
W-
M-
(='-
'r'-
'r).
M.
Ol
O'�,
'C�
0�,
C-4
M:
�O
C>
":Jr
m
m
in
�T
�c
m
�p
t-C)
C7\
'r
W)
C�
1�0
r-
m
W
C)
kn
m
C)
(7N
C--
m
C>
C:)
kr)
C�
tC�
C::>
C>
00
CD
"
C)
C--
p
(--
t--
r-
00
C4
Cj
CND
(7,
00
v)
00
m
0�
W
tn
Ln
V)
\,O
N
j>
kn
00
M
00
p
"0
cq
C\l
Z)
00
"0
�O
(r)
cq
Ln
t-
kt-�
r--
kf)
Cl\
C�
�O
00
F-
-
t-
Lr)
"0
in
m
t--
M
M
kO
00
00
c)
rq
�t
0�
q\
a
cm\
C-0
C�
00
C-1
Ln
00
Ln
r-
Ln
kt-�
Ln
Ln
M
C',
Ln
00
00
W
N
00
m
Lr)
LO
c)
tn
M
V)
C'�
C>
kri
00
Ln
=
r-
cn
0"
m
�,O
Z
SO
W)
Ln
Ln
m
oo
Le)
tn
Lr)
kr)
Lr)
W)
Lr)
Lr)
V)
00
kn
kf)
in
�Q
Lr)
I-n
W)
V)
kn
W)
Ln
Ln
V)
Lr)
Ln
W)
In
\0
Lr)
W)
W')
in
Ln
"
Ln
W')
kr)
U)
kf)
Ln
Lr)
Ln
m
Ln
Lr)
Lr,
N
kn
cn
It
�,n
�n
Lr)
Z
C-0)
(,4
(,q
4-
4-
Az
;z,
>
>
la�
�z
�n
C3
m
0
0
w
m
;:s
-21
d
m
0
0
d
0
0
d
—Crs
0
—
>
Lq�
0
0
ja
at
cd
Cd
0
<D
P4
Cd
—,J
(t
lo-
cd
—Cd
cd
-,I
Cd
C)
cd
cd
$n.
<�
"
-�g
�:I.
0.
"
C3
0,
in,
bl)
A
U
�--q
�--4
Jq
U
0
191
4�
u
u
L)
u
u
u
u
U
U
U
U
0
u
C-)
u
u
U
u
U
L)
u
C3
L)
CD
C)
C)
—
'71-
C)
r--
C�)
00
C)
"0
C)
00
�:�
N
—
00
C)
Ln
C)
00
C)
�n
<=
r--
C)
\.O
C)
V-�
C)
r-
C)
�n
C>
kn
C)
C,�
O'�
<=
�
kn
C>
V�
C�
V�
C:>
m
C>
"0
C�
�c
C)
N
C:�
C,�
C�
kn
<D
C:)
C>
00
C>
00
C)
N
C>
00
(=
C)
C)
C)
C)
C)
N
C)
N
CD
cq.
C)
N
CD
rq
CD
N
<D
N
(D
N
C)
cN
<D
fj
C>
N
C>
N
C)
U\
C>
c,4
C>
cl
C>
N
C>
N
C>
N
C�
N
0
N
0
N
C>
N
C�
N
0
N
C)
ci
C>
C>
C>
N
0
N
v
Q)
QC:6
0
0
0
0
Q
0
aj
0
0
0
0
v
0
0
u
v
v
fi
41
413,
0
P,
PL
fa�
C:)
a,
cl,
$:I,
0�
rI,
4
r:)
r:5
(:5
f::�
f::5
f:5
f:�
ff�
45
f:5
�5
0
L)
0
Q
0
0
u
0
5
w
b
0
u
(U
5
U
4.>
Q
�D
Q
Q.�
u
7�
7�
P-,
P-,
P-,
roLl
00-4
004
00-4
PO-4
0
0-4
P-4
0
P-4
0
P-4
0
P-�
0
P-1
0
P-�
0
aq
0
0
a
0
0.
0
P.
u
0'4
P24
PE
PZ
P.
4
Ln
',D
C)
Ln
kn
t-
kn
kn
<=)
t-
00
W
M
<=>
0,
C')
r-
M
—
M
"Zr
00
M
C:�
CD
C�)
V-)
kn
00
',C
M
C:�
C)
00
kn
W
�.O
M
00
N
C:)
00
CT\
r-
W
C7%
a\
C:>
00
t--
M
C>
00
m
V-�
m
00
N
00
r-
00
C',
00
m
00
r-
N
00
N
r-
CN
"0
N
00
N
I'D
N
"0
N
00
"
m
�c
C"4
t--
N
�10
N
00
m
N
t--
N
m
N
a\
N
N
00
N
CN
N
00
011
N
cc
m
al�
N
Ln
00
C�
m
I'D
C:>
01)
110
(-4
(f)
kn
Tt
�t
r--
(01\
C14
00
N
a,\
00
(=
�,O
CY\
�c
kPI
tn
Ni
00
m
m
m
6
Ln
1-
cn
110
00
a,\
6
vl�
1.
0
kj-)
kn
N
cr)
mm
mllmmcnm
m
C�
00
%,D
110
c7l�
kr)
�D
�t
00
N
co,�
m
C/)
04
�o
t.-I
C/)
N
a-,
00
00
00
6,
N
kn
�o
-4
00
a-,
Cl
C"!
"o
oo�
�<
:�
�'o
'o
kn
V-1
oc�
Ln
N
00
t�
C)
CD
(0,�
tn
00
Z
Z
Ln-
M
00
t-
C:>
5
�t
r,
rz,
0,
m
C--
\,D
C)
w
4
—
-4
00
m
m
0
N
all
kll
00
m
00
ON
CD
\0
00
W
C>
r-
kn
kn
r-
�t
00
00
C)
LO
C--
00
C',
Lr)
�t
00
CD
C)
00
\0
M
M
�t
00
\0
,
Ln
C)
<=
5
m
C:)
4
�t
CN
c,
00
00
Lr)
C)
tr)
00
\,D
�t
Ln
W)
tn
W)
C)
kr)
V-)
00
"o
Ln
m
w
�,o
m
m
N
00
N
a�
00
m
�t
Lf)
C)
CD
Lr)
00
"D
00
kn
00
00
m
00
m
I'D
m
")
N
4-4
00
00
oo
00
7r
I
00
m
,tT
"o
kn
"o
>
:51
CN
Lr)
Ln
tn
V-�
m
(n
m
Ln
�D
�D
n
�D
W�
Lr)
C-4
>
C14
Lr)
Ln
V)
V-)
Ln
krl
Lr)
c7N
"
'n
Ln
Cn
Ln
<D
:)
4
<DN
00
cc
Z
cn
C,,4
Cn
u
U
u
r-4
-4
-4
Ft
4-
4-
+1
+4
;*7.1
;t:�
;!:�
4�
+1
+1
.-
7�
'D
�
>
>
(U
4�
(u
4�
(U
z
z
z
cl,
-14
C)
44
Cd
U
E�
03
Cd
0
t
'--
C)�
.0
.0
-0
;>
C)
&-
-'
kir)
Lr)
�-i
.
4-�
X--
v
(1)
v
U
J�
U
C13
U
U
u
7�
cn
(z
;:j
—
+
C�
-0
U
0
u
U
U
u
1.4
o
u
u
+
W
tn
cl�
00
CD
14D
<D
CD
Ln
C)
0
CD
00
C)
r-
ol�
W
C)
"o
C)
C)
!T
C>
m
C)
N
C)
00
<D
N
C:�
M
coo
C)
M
C�
\0
C)
C,�
aN
kf)
C�
—
00
W
al�
C)
0�
O'�
C,�
I--
O'�
W
C�
m
t--
C)
C)
C)
CD
C)
CD
C)
CD
C�
C�
C�
C�
cl,
C�
C�
al�
0�
C�
<D
C-q
Cq
N
N
—
—
—
—
+
I�n
r
IL7n"
+f�
lil
+Ti
�Ci
+
E��Z
+
W
Q
4
J�UU
GO
-C4
8
o
0
0
4C�
o
0
0
0
ul
0
0
0
(D
(D
0
(D
91.4
P1.4
PH
P-�
0-4
0-4
rL4
P-4
P-4
V�
(A
C/)
cl�
V)
C14
pl.�
V�
un
C#�-
kn
00
Ln
t
m
01%
C�
r-
CD
0
C'�
r,-
�,o
N
CN
V)
'er
m
C\
m
00
W)
W
—
1,0
kn
M
c,�
M
N
<:D
"o
<=>
kn
It
m
\.0
-
C>
m
1,0
zt
kn
't
M
<:)
W)
Cn
�
V-�
:t
r-
C,�
Tt
w
00
C>
00
rl-
w
\0
1-n
w
cl�
01%
r-
"
m
N
m
N
oll
m
r--
C�
Cl%
:I-
C>
w
kn
�C
kn
r-
C14
I-
O'\
cn
110
W)
m
C',
00
Ln
110
kn
00
t-
00
ic�
m
Ln
It
00
Ln
clq
�t
�t
't�
cl�
�-o
(14
m
.-I
m
m
m
cn
z
Ul
z
U�
—M
CO
CID
U)
DO
04
ul
�4
m
z
z
z
Z
00
It
01%
00
00
00
kr)
110
00
C)
kf)
00
cl-
00
U
It
00
<D
—4
m
ZD�
00
00
C)
V)
r-
C)
'n
00
C)
c)
<—=)
z
Z
z
km;,
M
z
It
cn
tr)
�t
00
0
;L4
;D4
C6
m
Cq
0
cl,
rA
Cd
4.4 Q)
cn
"d
Cd
r.
0
En
to
F,
U�
0
CA
0
0
;:�,
0
4-1
0
(D
0
d)
"
-0
F-
2
0
0
�-o
0�4
;Im4
0
0
;.,
=
-14
co')
0
'C="
'—"'
C')
p
c
C)
z
z
z
—Z
—Z
—Z
0'..,
"o-,
0',
C�l
AN
0',
C�
ON
C)
clq
0
ril
cu
CA
0
rA
0
rA
0
9
0
LO
0
v
rn
40
V,o
u
u
u
u
u
U
U
U
U
U
U
u
4-4
4-4
4-4
4-�
4-4
'0
4--1
'0
4--1
'0
4--1
4-4
4-4
0
04
+C4
o
C)
o
0
(D
o
(D
o
(D
C)
(D
(D
CD
Cl�
;-4
0
4
—
—
—
—
—
V
0
40
10
-0
-0
-0
-0
-0
�w
-0
.0
-0
Cd
Til,
r4
o
CXI
C/D
cn
>Iul
O�
w
<
�o
Z
z
z
z
z
z
z
z
z
Ic-q-
—N
Aq
z
zi
cn
cn
C/�
CA
cn
In
cn
N
Ln
110
C)
110
tr)
Z
'n
Z
Z
Z
C VC,.fiweil
T. � TrTl
t 14 ,
:d
kq
RP
v AVI
,WN
'10
will
tl�
'D
q
cD
0
CD
3
(D
M
w
F�
1-4
z
OOOOOOOOQOOOOO
00000m0000ouoo
DOMOOOOOOOOOOO
00000000000000
MCD W ID (0 W W 0 W
N") t2 r")
2- W 1@11RINNION
C3 a 0 o 0
EL
0 0 C3
000 ct
o C3 0 M
CO 0 W rr
N) N m
0
m
9
Z'o
cr
0 0 C)�
(3D 00)
0
. pp
100 �8 t9
080
CD 0)
Z
0 0 C> C� C� 0 0 0 0 C3 C� M C3 0 C) c 0 0 0
-4 4� 44 41 m 0 0 (A 0 cn (A L" L" (A m 03 0) 0)
0
4 m 0� -4 -4 --l-.4 -4
C. 0. 't C.
ro Wj5AjpjfqpjpjfDjp fbj!Dj:-4 �4 . -4
bbc�bb0000000ncam mmm
CD m C3 ID 0 0 0 n 0 0 CD� 0 0 CD� 0 000
�l
Ow
C:
(D 0
�' -04 -01 -oqvvvvvvvvo-1 -01
0 0 m
CL CL a CL a- CL CL CL
zzzzzzzzzzzzzzz
1 >t>>>t>>>>>>>
Ccc r_cc cccr_cr_c:
ha a a aga a gaaaagg
5'
" 'li 2"91,21R
CL CL cl
z z z
0 c c rz
ag&
R IQ, I-
� � >
0
CD cA
0
IDL
C
0 19
3,
Z
3
Er or
0
;u z
r
CD
17
a ziv c:
0 0 V
'0
V —0
=r
0
0
3
9w
0
CD
Fr
CD
CD
.0
CD
m
0
cl
I
Pi
M
0
CD
All
I
R
CD
0 0 N 0
0090
00 a
CD 0 w 0
ED cm 0
J� -4 0
0, 0 co
N) �j N 8 N
000 c
CD CD to c
co u
CO M Co -4 CO
wMMN
PP. p
00 206
00 00
it'
,n
0)
4
io I I
-41
> In
=
0
rr 0
ID a 2
a
o _ID
0
_(b
Ch
co Zq'
> >
(D
Z
C
ID
' (D fD
n
0
3
rr
EL
-0
c
)
CF
w
a: < =h
F/i, m 8
Ab
cn
U3
xv -3 —
(D
0
C!
cr
CL
z
C,
3
cr
to
R
co
M
al
(D
in
C,
CL
CD
cz
cr
cr
m
Is
0
>
n
-00
w
2L 0
cr
0
0
w
0
0
m
CL
RL
(D
9 X ()
C (D
(D
0.
OL
V
0
CD
0
0
0
(D
E3
CD
0)
RL
C
OK)"000000M00000"Cor,
OCDOC)0000000
Ot8pppoaoc)OM88288�
0000000000000000000
MOOWWWWWWWT
t') m 8 " X) m N N t Q 0 F 41
UP, 0 w m w m r) 0 = 0
<0 0) cil 0 (D co C)
2 2
0 CD� C> 0 0 0 0 <D� 0
mmmwmwmw 060i
PIN I - I I �
0. C�O
�4
50 i� :-j p 1-1 �A
c CD ca C3 0 0 C� 0 0 CD 0 c
Oc
g �p �mq -g -0 -0 :g q
O'c"KAUMMUN
R
2L
CL w 0 0 0 rA 0 (A (D
%CL
6 i"D'
(D
a
� i
0
= r, -
<
m
v .--1 v -.-I �, -.", v j 81 v o, 9 -.-1 ;' v -I v a
'Cr or cr,cr U, 0. tr D- cr
,D o (D (a (G 0 m m cr cr u m
0 M (D M M M
CL 0
m CL 06 a CL CL CL cx CL
z z z
z :4 z z z 2�
z z z z
C: a
09
I— IR I Q I—zl—z -Z 2, 1
9.
go
(D G—' Z)
Z Z
, r-
3 9
C, cr
co LP
o
o
CD
CL
S
�y
C,
0
5�
(D
(D
rr
r
(D
0
a
0
0
"D
a
Cr
6
cu
0
8
w
rp
(D
3
c:
;u 0
M
.0 CD
cb
QL
:3
Pr
HV
>
"n
-D
0
-n
FF
m
(D
w
z
w
3
ti)
2
W
No 0 0 " CD "
ammc)209
'D 0 0 0 C, 0
000 0—
OWWWOW2
04" 0
4 " !� " 0 N -4
Ul 4W-0
2 2
" N) " r13 " N " to
Eono2lDao
000 0 0
0 0 En GO 0 0 "1 cc
(D (D 4� ID K) w
0 CD 0 0 C) w 0
00 1 0.10010-10
z
>
(A
r
.r e, M
M ei ID
rh
a
2
0
>
C4
CD
11) 4A w
IEDL (Ul
A 1.6
C < =h
c,:,
Z Z 3
c,- rr
co)
OD 'D
o
In
mr
CD
;a z
o oo co 0.
< >
CD (D 0
3
a R
(D
a
cn
=r
(D
5
N.
CITY OF SOUTH BEND
U
:E
Request for Asset Disposal P. A:C.
- R
Effective 1-1-2010
Fixed Asset Disposal Procedure Statement
All city departments are required to submit asset disposal requests to the Board of Public Works for approval prior to
disposal of an asset. Asset disposal requests must Include the following Information:
Asset description
Asset Identification number
Year of acquisition
Historical acquisition value
Net book value
Reason for disposal
Method of disposal (offer for sale, scrap, em)
The asset disposal request must be signed by the Controller before submittal to the Board of Public Works,
Asset Description . car 19, 2002 Chevy Cargo Van
AssetTag Number asset # 00005981
Department of Ownership Community Investment
Year of Acquisition 2002
Historical Acquisition Value $17,301
Net BoakValue 0
Reason for Disposal past useful life
Method of Disposal Auction 2017
Approval(s) Name Signature Date
Department Head 3APw Mtkollv
Controller KAA —7-4) -1 t
AF Palky 25.1 Fixed Asset Form 1-8 Request for Asset D[sposal.doc Rev. 0208 1 Oa
Page I of I
==W. ai. 5
A.-,
�n)
.mF=
I
mwl� =
lial—
IN
a
m N
N
w
ill oal
.............
�&A W 1 4 t9l i i �E S I a I
Pt
z -A�!- av,
z
....... . . . . .
21
�[ 1. 1?"
I I I