MTO 102206 Sale of Assets-City of Astoria

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CITY OF EUGENE SURPLUS PROPERTY DISPOSITION FORM Use this form to document the donation, selling, or disposal of City owned property that has been deemed as surplus. Refer to City Administrative Order 44-14-08F, City of Eugene Public Contracting Rules Exemption E- 16 (on back of form) or contact Eugene Purchasing for guidance. Fill in the form, attach the necessary documentation, and retain within the department for auditing purposes. If the item originally had a value over $5,000, and/or has a red asset tag attached, contact Kevin Vanderwall in Finance. Name: Keith Nicolson Dept.: Public Works Division: Maintenance Item Description: Surplus Gold Elite Parts Approximate Value: $ 1,950 Location of Item: 1820 Roosevelt Blvd, Eugene, Or The item above has been deemed as surplus and has been/will be removed from the department by the following method: °Donated to a non-profit organization or other government agency. Name of receiving entity: Attach a detailed receipt that includes receiver's signature, date, and item detail. Retain documentation in department file. °Recycled or disposed of as waste. Name of employee overseeing disposal: Retain documentation in department file. Sold as a fixed price sale or at auction. Name of Buyer: City of Astoria Minimum acceptable price: $1 ,950 Final sale price: 1,950 Detailed item description, including overall condition, manufacturer/ model#, etc. Motorola Centracom Gold Elite Parts 1 - I/O Board 4 - Bim's 3 - Coim Cards Apply proceeds from sale & associated auction fees to account: Fund: 011 Org: 6840 Account: 47291 Project: (optional) Send form, photos, and any other info that will help Purchasing sell the item(s) to Eugene Purchasing. Retain documentation, including outcome of sale, in department file. Today's date: 3/1/17 Division Supervisor authorizing Surplus of above item: Version 2/2017 ._.�