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									                                                                                               State of Idaho
                                                        STATE PROPERTY DISPOSAL AUTHORIZATION REQUEST

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Permission is hereby requested to dispose of the following personal property declared surplus by this agency. Disposal will be in a manner meeting the best interests of the
state and in accordance with Idaho Code 67-5722 and 67-5732A. Note: Employees of this agency, including their spouses, dependents or any other person acting on the employee’s
behalf, are prohibited from participating in the acquisition of this surplus property pursuant to Idaho Code 67-5726 .
      Disp.     Agency                                          Tag Number      Qty.                                      Description of Item             Cond.          Est Value    Original Value if
      Code       Code                                                                                                                                     Code                         over $2,000
  1           5     511
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                DISPOSAL METHOD CODES                          (check as many as apply & enter above)                                                              CONDITION CODES
                    01          Transfer to another agency                             04     Recycle or sell for scrap                                   E- Excellent         R-Repairable
                    02          Public Sale (Auction or sealed bid)                    05 X   Unusable-Ship to local dumpsite                             G-Good               U-Unusable
                    03          Leased property turned back                            06     Other                                                       F-Fair

Requesting Department                                                        Phone                       Purchasing Agent Signature


Requesting Person's Name (Print or type)


Requesting Person's Signature                                           Date                                 APPROVED                       DISAPPROVED                     Date
                                                                                 11/16/08
                                                       NOTE: DO NOT DISPOSE OF PROPERTY UNTIL YOUR DEPARTMENT IS IN RECEIPT OF THIS SIGNED AUTHORIZATION.

								
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