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Or Auth Rep) Printed NamePhoneMoCode Distribution Non-University/Grant Owned ItemsUniversity Owned Items5Send to Campus Sponsored Programs Office for ApprovalQContact Environmental Health & Safety if items might contain hazardous materials.Contact Email AddressQuantityContact Phone 0MUHC Departments - must also notify MUHC Finance)General Information - Complete All FieldscThis form must be completed and sent with all items picked up or delivered by/to Surplus Property. * If item is lost or stolen a police report and/or ӰƵ 155 must be attached. SPECIAL NOTE: All Information Technology (IT) items that contain data must be sent to your IT Pro/Department for erasure. Surplus will collect the items from IT after the data is removed.  ;Items Changing Location Between Departments/Sub-Departments@ONLY complete this section for items over $5000 acquisition costT(For Transfers Only) Receiving Department Signature (Dir., Dept Chair. Or Auth Rep) #Authorizations and AcknowledgementseItems to be Transferred to Surplus Property or Deleted from Inventory (Attach spreadsheet if needed.)  Select ConditionQty.ӰƵ 27 (MAR 24) 3/15/2024University Inventory No.PS DeptID New DeptContact Person Transferred ToBuilding & Room Transferred ToBy signing this document, I acknowledge to have reviewed and complied with all environmental health and safety policies and procedures associated with the disposal of surplus. I also confirm no Information Technology related items with data are included. /Surplus Items - Send to surplus@umsystem.edu 8Location Changes - Send to umprocassetmgmt@umsystem.edu2B CCv&E HH=cc PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V/@X2 /~/x{m&D DeN,1uW 3n'@`|k~,zf'sυ77\V4O.6Ǿ8uR۝fmS#=>!ij:q=#%+t}L!СSHK@^f>j'6G>gUwȱ3aN‰'!Vd&F6+d:"nH^+7@\i?bE E'>sv̇4 (FkN7%N6e;S52 '4=SWD^*{z)߄ xO^wMWPb[7{d}L#%[IqbdE$ @;u$Q%Ͱ׷ƳirZi.xViCzcy +9-/h7!aMh,u!aVVX4=,.kTjEV`` jU0#8TaFB<ՋdLo SXT2MuR;GV$LdL1ɼ:yhi˔:t(|PZK⢹Um`,E']_ jG}/f>)?QLH2nD'W*"I+/R![e %YyA$񘌔vkDG:ϵ{ט_-ݏ4dSqCJxTɣRxYٲV\vWq̲;-9HyA\1kZ!7aT]#簱m#gg:_Ŝm`%kEAK6ZO(랣!XԖ94u֚=u{bgP;OTpGx u~[Z/& >|сSI% 0lfORȆ1PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!f$xtheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]  ZO .Ijt3y  dMbP?_*+%&?'?(?)?MLemone N2 Printer 1  odXX10DRWd!fOxuTr0 {;Mg40 Il@Ç߻dˍ],߻\(XJ6yp!R]v;EgfaSv_>P=[G(b-¥pW9D,T+P X êi:Xх^xIzUd:9 ],F' *Nû?&zȁBiBF5.LJ]RMJv-oqqSsQdjp fV4£+EtyLS>N΂=_/,/>Y |nuZ})kr?0VC͵I%Esn&Yvش6tֲu937%: OxKFR{H#VᱠYMǖUz݉)Q:;D"υAȼ:Z + `Q3{@d+U pVqy~5Za.7y \iNy^ٞƂ\m,mb xGk5%#h\Hˉ .B'C29eL䑐IĔ%A_fjNƕU^Quy=Xj3ἒO_jcX/%N*1zkc"c4r#6HUW"M XX??&IU} U} }  }  } q}  } } } } } } } q} q.@@ @ @+@@+@  @  @ @ +@ @@@@@@@+@+@+@+@ :@ Y@@ +@+@@@@      "   I    "C J       "E      V ! k$   l  MNNNNO R  SRSB " MNNNNORSRSB "MNNNNORSRSBsst "MNNNNORSRSBPNQ "MNNNNORSRSBPNQ "MNNNNORSRSBsst MNNNNO RSRSBsst MNNNNO RSRSBsst MNNNNO RSRSBsst "MNNNNORSRSBPNQ MNNNNO RSRSB  H p qqqqqqqqqqqqr     T UUV L" K$ % '  UU  & "@A "DA "DA "FG D| l222&2T&j&2|H<&&&&&<<<&<H222&&& @!@"@#+@$@%@&@'S@(@)* +,-   !]( !^^^^^^^^^^^^ "h "iiiij ""iiiiii "# $h $ij $ $ij $ $ii $ $ i "%|}~ & & 'u'vvvvw 'x'vvvvyyz (Z([[[[\ (c)(dddddde )]^^^^_ )c*)ffffffg *`aaaab *W*XXXXXXY +{ +mmmmmmmmmmmmm ",mmmmmmmmmmmmmm -n#-o .22H&t&2HH<<2&x(    B0Յ XPP?gB]4@ uEKE&  ;<<Form 27s will be processed in the order they are received. <: ;   BpՅ XPP??F+]4@ uJ (V7 < Five (5) letters and or numbers<  BpՅ XPP?  5]4@ ?ƌMoKC7 m<nA short general discription is all that is needed BUT have the Surplus items to be picked up clearly marked. <l m   BՅ XPP? 5  ]4@ 7XAHk>C `8<aThe University inventory tag, NOT product or serial number. This is ONLY for $5,000.00+ assets. <8!D!H_ `@   BՅ XPP? 2]4@ bݎC;R <If items DO NOT have a University inventory tag and are valued at less than $5000.00 it is not necessary to complete this form. <f E   B@Յ XPP? 0! J]4 @ q>Mvcf ,<-One (1) letter followed by seven (7) digits <+ ,#ParksCParksC ParksC ParksCParksC ParksC><}ksdnsv                                       !! 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