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Surplus Property Report
General Information
Name
*
First
Last
Phone
*
Your Email Address
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Enter Email
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College/Area
Department
Unit
Mail Code
Org. No.
Indicate Ownership
Who 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
Explanation
Item Information
Item Name and Description
Item 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 Approval
Equipment Coordinator Name
*
WSU Spokane (area 57), Kathy Elgiadi
College of Nursing (area 06), Michael Lynch
CAFRU (area 41), Kim Calamia-McKee
Pharmacy (area 15), Sarah Kohler and Ryan Maynard
College of Medicine (area 08), Business and Finance Office
IT Department – Bonnie Cooper and Kathy Elgiadi
Speech and Hearing (area 08) Laura Difilippo and Medicine's Business and Finance Office
SBDC - Craig Abbs
Date
MM slash DD slash YYYY