Form Center

2. City-Parish Government
   Movable Assets Acquisition, Deparmental Move, Disposition and Correction Form
4.  
6. A
7.  
   Property Tag:
8.  

   1. Correction
10. Description:
12.  
    Serial No./VIN#:
13.  
    Account Number
15. Location:
    -- Select One --2224
16. Property Manager:
    (Code)
17. Class Code:
19. Dept./Div.#:
20. Date Rec'd:
    Date Rec'd:
21. P.O.#:
22. P.O. Date:
    P.O. Date:
24. Item Cost: $
25. VEHICLE AND EQUIPMENT: Make:
26. Model:
28. Year:
29. Equipment No:
30. License No:
32.  
34. B
35. Department Move (or) Transfer
    Department/Division receiving asset must complete this section Ensure to complete section A of this form
37. Date:
    Date:
38. New Location:
39. Dept./Div.No.:
41. Method:
42. New Dept./Div Signature:
44.  
46. C
47. DONATION, SOLD, SURPLUS, PILFERAGE, REPLACEMENT OR TRADE-INEnsure to complete section A of this form
49. Check One:

    1. Donation
    2. Sale

    1. Surplus/Scrapped
    2. Pilferage

    1. Trade-In

    1. Replacement Asset
51. Date:
    Date:
52. Amount received Trade-In:
54. Disposition Code:
55. Amount received for Sale:
57. Sold To:
58. Donee (Organization):
Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

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