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�c Z' coxao- <br />EQUIPMENT ACCEPTANCE TRANSFER, REASSIGNMENT <br />'RELOCATION OR DISPOSAL FORM <br />RECEIVED <br />�)iU1 CTO <br />1TEoi= <br />Unit No. <br />154 <br />Description. <br />Identification No. <br />Department <br />43 <br />S -15 <br />1GTCS14R8M8534490 <br />Transfer Date <br />01 -07 -03 <br />Insured <br />Date Purchased <br />Year Model <br />Make of Vehicle <br />Description. <br />Identification No. <br />1990 <br />GMC <br />S -15 <br />1GTCS14R8M8534490 <br />License No. <br />Radio <br />Insured <br />Date Purchased <br />Cost <br />Yes <br />Yes <br />591 -251 <br />XX No <br />No <br />Title No. <br />Driver <br />Dispositior and Date <br />-C.'.• ­­­C COr. • I..t i, TC3.3 11..0 <br />Why is transfer, etc. , being made? <br />Have all available manuals, and operating instructions been furnished to receiving party or <br />available at Garage' Yes No. <br />What use will be made of equipment in receiving department? <br />.. . .... ......... <br />General condition of equipment (Garage Superintendent) <br />Comments: .z <br />Signed Original Dept. Date' <br />Signed Receiving Dept. Date <br />Signed Garage Dept. Date " <br />Signed Purchasing Agt:' Date <br />