Laserfiche WebLink
United States Department of Agriculture Report Ni <br /> Report of Transfer or Other Disposition or Construction of Property Date <br /> 1. Type of Transaction (Report each type separately) 2. Authorization Reference 6/15/09 <br /> 3. Proceeds Received <br /> ©Transfer 0 Sate OTrade In 0 Donation <br /> ❑Construction ORehab ❑ As -Is $ <br /> 4. Reporting Agency 5. Receiving Agency (Or Name of Purchaser or Donee): <br /> USDA, APHIS COUNTY OF HAWAII, MAYOR OFFICE <br /> A Organizational Unit A. Organizational Unit (Or Address of Purchaser) <br /> WILDLIFE SERVICES 25 AUPUNI STREET, HILO, 1-11.96720 <br /> B. Location B. Location <br /> 3375 KOAPAKA STREET, STE. H420, HON., HI. HILO, HAWAII <br /> C. Signa z Q Signatu <br /> D. Title D. Till E,Uate <br /> STATE DI" CTOR Program Manager 't l I.r 9 <br /> 6. Property Items <br /> Quantity Item Description Inventory <br /> (Or Prop. No.) (Give Full Details Including Serial Numbers, If Any, and Condition Code) Value <br /> AS PER ATTACHED WORKSHEET <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • Certifications of Property and Fiscal Officers <br /> 7. Properly Officer: This transaction is completed and the necessary) entries 8. Fiscal Officer <br /> have been made to adjust the property records proceeds, if any, are to be A.O The sum indicated below has been received in payment for the property <br /> deposited to: disposed of <br /> 8.0 The necessary entries have been made to adjust the accounting records. <br /> Amount ($) Schedule No. <br /> Signature - Date Signature D to <br /> • <br /> This form was eleotronicauy produced by National Production Services Staff Form AD -107 (11 /e9) <br />