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Croton-Harmon School District 10 Gerstein Street Croton-on-Hudson, NY 10520 F'XED ASSET DISPOSITION FORM lnstructions: Please enter information related to fixed asset dispositions. lf you are missing information leave the cell blank. ln the cell labeled "Asset Tag #', enter the asset identification number located on the asset tag, this is required information. Please note in the final column if the asset is being surplused (stored with final disposition to be delermined later), sold or discarded. Submit the form to the business ofilce for all fixed assets with a cost greater $500. For flxed assets with a cost from $100 - $500 complete the form and retain in local fixed asset records. Location Manufacturcr Numbet 1 Seiat# l Model "4n9.9(.r. ?s A # bttt_BU) /blg, Drlk t/^ I r/* :, t/,.4 i.-.-.-.---- Comments Derk rs Pl'dh" Q""r E(o,n - ,l- 'All items to be sold must be bid and processed through the business office Authorizations / Signatures for Dispositions 1) //rt 3) Employee or Fixed Asset Designee Date Director oI Finance and Administralion a0a %ts 6..-^.,'' Date O 2l P or Designee Date h 4) Disposition Compteted by Date L arl