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10 <br />r CITY OF SOUTH BEND <br />Request for Asset Disposal <br />Fixed Asset Disposal Procedure Statement <br />Effective 1-1-2010 <br />0 0 <br />U C r1 <br />W PEACE <br />ti 1865y/ � �• . <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 disposal (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 2006 Chevy Malibu <br />Asset Tag Number 00009368 <br />Department of Ownership Engineering <br />Year of Acquisition 2007 <br />Historical Acquisition $ Value $11,600 <br />Net Book Value 0 <br />Reason for Disposal Past useful life <br />Method of Disposal Auction 2016 <br />Approval(s) <br />Name <br />s' <br />✓12 ' <br />�;� sz <br />Date <br />Department Head <br />Controller <br />AF Policy 2.5.1 Fixed Asset Form 1-13 Request for Asset Disposal,doc Rev. 020810a <br />Page 1 of 1 <br />