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Move Disposition and Correction Form

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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