"Surplus Certification of State Property" - Florida Download Pdf
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"Surplus Certification of State Property" - Florida

This "Surplus Certification of State Property" is a Florida-specific form released by the Florida Department of Juvenile Justice on October 7, 2005.

Download the form by clicking the link below, fill it out by hand, and mail it as per the guidelines provided by the department or the applicable legal instructions.

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Download "Surplus Certification of State Property" - Florida

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Attachment 4
Revised 10/7/05
DEPARTMENT OF JUVENILE JUSTICE
SURPLUS CERTIFICATION OF STATE PROPERTY
To:
Department of Juvenile Justice
From:
Date:
Bureau of General Services
Page:
Property Management Office
Cert. No:
2737 Centerview Drive
Tallahassee, FL 32399
Org Code:
MIS USE ONLY
PROPERTY
EST
Clean
Date
FINAL
DESCRIPTION OF PROPERTY
SERIAL #
CONDITION
MIS Staff
NUMBER
VALUE
Method
Cleaned
DISPOSITION
Property Physical
Select
Location:
E - Excellent
___________
Select
___________
E - Excellent
Select
Contact Person:
E - Excellent
___________
Select
E - Excellent
___________
Select
E - Excellent
Property Offic e
Select
: ______
Review
E - Excellent
________
Date:
Select
E - Excellent
Director,
Select
Support Services:
E - Excellent
Request is:
Select
Approved
E - Excellent
Disapproved
Select
Initials________
E - Excellent
Select
E - Excellent
Select
E - Excellent
Condition of Property Code: E – Excellent G – Good
Cleaning Method: D – Physically Destroy ed
Final Disposition: T – Transfer other state agency or
F – Fair P – Poor S – Scrap (Describe on next page any
K – Software Overwrite R - Remove for future reuse
government entity D – Donate (Education or Non-Profit)
additional information that may be pertinent.)
O – Other (specify) ______________________________
R – Recycle E – Exchange (Use as credit on purchase of
replace item) O – Other (specify)
____________________________________________
I hereby certify this property as surplus in accordance with Chapter 273 of the Florida Statutes.
MIS Coordination (Print Name and Sign)____________________________________________________________________________
Property Coordinator or Liaison (Print Name and Sign)_________________________________________________________________
DJJ Form 25
Revised 10/7/05
Reset/Clear Form
Save As
MIS Cleaning Form
Attachment 4
Revised 10/7/05
DEPARTMENT OF JUVENILE JUSTICE
SURPLUS CERTIFICATION OF STATE PROPERTY
To:
Department of Juvenile Justice
From:
Date:
Bureau of General Services
Page:
Property Management Office
Cert. No:
2737 Centerview Drive
Tallahassee, FL 32399
Org Code:
MIS USE ONLY
PROPERTY
EST
Clean
Date
FINAL
DESCRIPTION OF PROPERTY
SERIAL #
CONDITION
MIS Staff
NUMBER
VALUE
Method
Cleaned
DISPOSITION
Property Physical
Select
Location:
E - Excellent
___________
Select
___________
E - Excellent
Select
Contact Person:
E - Excellent
___________
Select
E - Excellent
___________
Select
E - Excellent
Property Offic e
Select
: ______
Review
E - Excellent
________
Date:
Select
E - Excellent
Director,
Select
Support Services:
E - Excellent
Request is:
Select
Approved
E - Excellent
Disapproved
Select
Initials________
E - Excellent
Select
E - Excellent
Select
E - Excellent
Condition of Property Code: E – Excellent G – Good
Cleaning Method: D – Physically Destroy ed
Final Disposition: T – Transfer other state agency or
F – Fair P – Poor S – Scrap (Describe on next page any
K – Software Overwrite R - Remove for future reuse
government entity D – Donate (Education or Non-Profit)
additional information that may be pertinent.)
O – Other (specify) ______________________________
R – Recycle E – Exchange (Use as credit on purchase of
replace item) O – Other (specify)
____________________________________________
I hereby certify this property as surplus in accordance with Chapter 273 of the Florida Statutes.
MIS Coordination (Print Name and Sign)____________________________________________________________________________
Property Coordinator or Liaison (Print Name and Sign)_________________________________________________________________
DJJ Form 25
Revised 10/7/05
Reset/Clear Form
Save As
MIS Cleaning Form
Go to Page 1
SURPLUS CERTIFICATION OF STATE PROPERTY
ADDITIONAL INFORMATION:
DJJ Form 25,
Revised 10/7/05
Revised 4/13/05
Go to Page 1
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