WSU SpokaneFacilitiesSurplus PropertySurplus Property Report Surplus Property Report Surplus Property Report General InformationName* First Last Phone*Your Email Address* Enter Email Confirm Email College/Area Department Unit Mail Code Org. No. Indicate OwnershipWho owns this property? WSU Federal Government (Confirm transfer allowability with Sponsored Programs Services and attach federal release.) Requested Action Transfer to Surplus Stores Place on consignment at Surplus Stores Trade In Other FUND/SFND/PROG/BUDGET/PROJ/SRC/SUBRC Voucher Number Selling Price New Purchase Order Number Trade In Value ExplanationItem InformationItem Name and DescriptionItem Serial Number Functional? Yes No WSU Inventory Number Inventory Disposition Item is not inventoried. Item was on departmental inventory, but has been deleted. Item is on University inventory. Potentially Contaminated or Hazardous Items Laboratory, medical, or shop/industrial item Office item Refrigerator or freezer used in laboratory Refrigerator or freezer not used in laboratory N/A Department ApprovalEquipment Coordinator Name*WSU Spokane (Area 57)College of Nursing (Area 06), Michael LynchCAFRU (Area 41), Cassandra KellyPharmacy (Area 15), Sarah Kohler and Ryan MaynardCollege of Medicine (Area 08), Business and Finance OfficeIT Department – Matthew BlytheSBDC - Artem SytnikDate MM slash DD slash YYYY Δ
