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2. Department
3. Inventory Number
5. Form Completed By
6. Date
   Date
10. Description
11. Purchase Date
    Purchase Date
13. Voucher/Warrant Number
14. Fund
    -- Select One --A10 General FundPAPCSACSEA
16. Vendor
17. Fund Type
    -- Select One --110 General120 Special Revenue130 Capital Projects140 Debt Service210 Enterprise220 Internal Service310 Trust320 Agency330 Nonexpendable Trust900 Other
19. Location
20. Source
    -- Select One --01 Grants State02 General Fund Revenue03 Enterprise Fund04 Donations05 Note or Bond Debt06 Special Revenue Fund07 Grants Federal08 Agency09 Capital Projects10 Confiscated11 Other12 Transfer
22. Room Number
23. Function
    -- Select One --010 General Government020 Judicial030 Public Safety040 Public Works050 Health060 Human Services070 Conservation/Recreation080 Water090 Sewer100 Landfill110 Capital Outlay120 Waste Disposal130 Community Development200 Other
25. Model Number
26. Method
    -- Select One --01 Purchased02 Trade In03 Donated04 Lease05 Transferred06 Received From Trade In
28. Serial Number
29. Cost
31. Was Old Asset Traded In?

    1. Yes

    1. No
32. Costing Method
    -- Select One --100 Actual Historical200 Estimated300 Fair Market/Donation
34. Maintenance Agreement
35. Asset Type
    -- Select One --101 Land200 Building/General202 Sewage Treatment203 Water Plant250 Building Improvement251 Heating System252 Air Conditioning253 Addition254 Fire Alarm System255 Sprinkler System256 Plumbing300 Landfill301 Fences302 Parking Lots303 Sewage Basins304 Sewage/Clarifiers305 Sludge Drying Bed400 Sewer Lines401 Water Lines503 Data Processing504 Typewriters505 Communications Equipment506 Office Equipment507 Other Equipment508 Weapons509 Hand Tools510 Compressors Etc.511 Equipment Not Office512 911 Equipment513 Voice Activated Equipment550 Lift Stations551 Sewage Equipment552 Grinder Pumps553 Education/Entertainment601 Desks602 Chairs603 Filing Cabinets604 Office Furniture605 Other Furniture606 Other Fixtures607 Appliances701 Automobiles702 Trucks703 Tractors and Mowers704 Heavy Equipment705 Snow Removal711 Motorcycles712 Watercraft713 Trailers801 Buildings Under Construction802 Land Improvements803 Landfill Improvements900 Infrastructure
37. Company
38. Trade-In Allowance
40. Cost
41. Date Expires
    Date Expires
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44. Email address

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