COOPERATIVE EXTENSION SERVICE Property Disposal Form	MISC-374D Rev. 4-5-2007
Transfer Department:	Org#	Receiving Department:	Warehouse	Org. #:	3404
Contact Person:	Phone#	501-671-2250
Date:	Phone #:	Fax #:	501-671-2356
Department Head/Staff Chair Transfer Department
This signature must be obtained before Warehouse can accept equipment.
**(DEPARTMENTAL SIGNATURES ARE REQUIRED ON ALL TRANSFERS)
Description of Equipment	CES Tag #	Serial #
Signature of Person Transporting Equipment	Date
Signature of Warehouse Personnel	Date
Signature of Financial Services Personnel	Date
Date disposal was completed
**SEND COMPLETED TRANSFER FORM TO FINANCIAL SERVICES OFFICE**