Use this form when equipment is created, manufactured,
built, and/or assembled from parts accumulated through various purchase
orders and/or procurement card purchases. This form should be submitted as
soon as equipment is assembled. The total value of the equipment after
assembly must be at least $1,000. This form is sent directly to Inventory
Control. Inventory Control will instruct an inventory clerk to tag the
equipment and add it to the department inventory. A copy of the form will be
returned to the department after tagging with a barcode number.
Department:
(owner of equipment)
Custodian Department:
PeopleSoft Dept ID:
Default SpeedType:
Contact Person:
Email Address:
Phone:
Building/Room Number:
Description of Equipment:
(35 spaces allocated on inventory data program. If computer related then first word must be computer.)
Primary Purchase Order Number:
Secondary Purchase Order Number(s):
ProCard Purchases:
Date:
Amount:
Description:
Date:
Amount:
Description:
Date:
Amount:
Description:
Date:
Amount:
Description:
Date:
Amount:
Description:
Total Value:
Acquisition Date:
Serial Number:
Model Number:
Form Prepared By:
Email Address:
Approved By:
Email Address:
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