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ept. o......20 COUNTY OF HAWAII Purchasing <br /> Using Agency No....-.1$.-...... Agents Disp. No <br /> EQUIPMENT DISPOSAL FORM <br /> YEAR ACAD. CONDITION <br /> OUAN. INV. NO. ITEM d FULL DESCRIPTION New Used ORIG. COST E57. VALUE Good Fair Poor C <br /> 1 112 WEED EATER GREEN MACHINE 401773 82 306. 8 0 0 <br /> 1 168 WEEDEATER TD 24 KAWASAKI SN425412 91 275 00 0 0 <br /> 1 169 WEEDEATER TD 24 KAWASAKI SN425413 91 275 00 0 0 <br /> SALES OFFER: <br /> 1 2.... 3...°--••----•---..°-•---.......-......--...--••-------- <br /> ' Name ~ Name Noms - <br /> Addreu Addeu Addreu <br /> Phone No. Phone No. - - Phone No. <br /> PURPOSE FOR WHICH SUCH PROPERTY WAS USED: office, research, maintenance, etc. <br /> MAINTENANCE <br /> OTHER REASONS OR JUSTIFICATIONS: <br /> REMARKS: APP <br /> POLICE REPORT'9TTACHED <br /> - HWAY MAINT. DIV. CHIE <br /> VERIFIED:.... DISTRICT--ROAD -OVERSEER - IZ---------------------------------- <br /> - - - Applicants Signature ~ ~ Tithe ' <br /> PUBLIC WORKS -HIGHWAY - RAU ROAD 5/7/97 <br /> - - Using Agency or Department Date ' <br /> - DO NOT USE THIS SPACE <br /> METHOD OF DISPOSAL: <br /> 1. -.'----"--------:---Incineration 2 . ........................Destruction 3....------...'---....----'------Trade-In 4. ..-`-"-"----'-'----.--------Sale <br /> 5 .........................Transfer. or secondary utilization 6..-..-.--...---_.......-......--...Others <br /> Other recommendations, if ony <br /> TRADE-IN <br /> Name - Name Name <br /> Addreu Address Addreu <br /> <br /> REMARKS : <br /> APPROVED: APPROVED: <br /> Choirman, Board of Disposal Purchasing Agent <br /> Dats Data <br /> SUBMIT ORIGINALS 3 COPIES TO PA's OFFICE _ <br /> PURCHASING AGENT'S <br /> (THIS FORM SHOULD ALSO BE USED FOR SURPLUS EQUIPMENTI <br /> <br />