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tive 1.1-2010 <br />CITY OF SOUTH BEND <br />Request for Asset Disposal <br />Fixed Asset Disposal Procedure Statement ` "-""' <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 bookvalue <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 Asset # 00005627, 2000 Chevy Pickup Truck <br />Asset Tag Number 336 <br />Department of Ownership. <br />Year of Acquisition <br />Park Dept <br />2000 <br />Historical Acquisition $ Value <br />$23,653.00 <br />Net BookVafue <br />0 <br />Reason for Disposal <br />Past its useful Life <br />Method of Disposal <br />Auction 2016 <br />Approval(s) Name Signature Date <br />Department Head aron <br />Controller�y <br />AF Policy 2.5.1 Fixed Asset Form 1-13 Request for Asset Disposal.doc Rev. 020910a <br />Page 1 of 1 <br />