State of Idaho STATE PROPERTY DISPOSAL AUTHORIZATION REQUEST Page 1 of 1 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 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 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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