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Equipment Loan Form - Download as PDF

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Equipment Loan Form - Download as PDF Powered By Docstoc
					                                                                                       G-110

              Brantwood Centre



                  EQUIPMENT LOAN / RENTAL FORM

                                                    Date: _________________________


Name of Borrower: ______________________________________________

Item on loan/rented: _________________________________________________

       Condition: ____________________

       Serial Number: ________________

Cost of Rental: ______________________



TO BE RETURNED:

Enter applicable time or date: _____________________________




I accept all responsibility for this item while in my possession and for its return.



_____________________________              ________________________
Signature of borrower                      Authorized signature




_____________________________              ________________________
Date Returned                              Authorized signature

				
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Description: Equipment Loan Form document sample