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APPENDIX B
Sample Inventory Management Record Form Page 1 of 1 2/18/2015
Facility
Code
Facility
Name
Location of
Equipment
Date
Purchased
Description of the
Equipment
Serial
Number or
Equipment
ID Number
Source of
Equipment
(Vendor)
Cost of
Equipment
Fund Source
Percent
Federal
Funds
Condition
of
Equipment
Disposal
Date
Disposal
2050 RHS Room 212 8/11/2014 HP Printer XY22567 Radio Shack 375.00$ Perkins 100% New
2050 RHS Room 610 10/15/2015 Dell Laptop MNC123XYL Dell 1,999.00$ CRE Grant 0% New
2050 RHS Room 212
8/11/2014 HP Printer XY22567 Radio Shack 375.00$ Perkins 100% Good 6/13/2018 Transferred
2050 RHS Room 610
10/15/2015 Dell Laptop MNC123XYL
Dell 1,999.00$ CRE Grant 0% Fair 6/13/2018 275.00
$
Career, Technical and Agricultural Education
XYZ SCHOOL SYSTEM EQUIPMENT INVENTORY MANAGEMENT RECORD
Georgia Department of Education
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