INVENTORY
(Fixed Asset DELETION Certification)

Please DELETE the following item from our inventory:	

Department/Office	:	________________________________________

Inventory #		:	__________________________________________

Description		:	__________________________________________

Serial #		:	__________________________________________

Location		:	__________________________________________

Date of Disposal	:	__________________________________________

Disposal Method	:	__________________________________________
				(Auction, Trade-in, etc.)

Payment Received	:	__________________________________________

						_________________________________
						Authorized Signature 			Date