SURPLUS PROPERTY DISPOSAL JUSTIFICATION FORM

The School Board requires an explanation as to why an item is determined to be surplus when it falls into one of the following categories:

1. Less than S Years old 2. Original cost was more than $5,000 3. Has not et met its life cle

When disposing of an item that applies to any of the these three areas, this form must be completed in its entirety, signed by the appropriate department head(s), and returned to the Warehouse (attention Sandy Kimple) before a pick-up date will be scheduled.

Please complete fill areas below, giving as much detail as possible:

SECTION A: TO BE COMPLETED BY THE WAREHOUSE

Asset #: 020094152

Acquisition Date: 8/22/2000

Description of Item: Computer Repair Training System

Original Cost: $9, 109.00 Current Book Value: $0.00 life Cycle: 5 Years -----

SECTION B: TO BE COMPLETED BY THE SITE ADMINISTRATOR

1. Check ('\/) one of the following boxes:

D ltem(s) are uneconomical to repair or llJ 1tem(s) obsolete & no longer usable

2. It is required to attach supporting documentation or complete the details section below. Your items will not be picked up if this information isn' t provided.

3. Details: This is a Tech Prep -PC repair training tool that is no longer usable. In addition the course in no longer offered.

Stephanie Soliven/Principal, Cocoa High School {J \'2..2-\ l lt Administrator Name (print) I Title Administrator Signature Date

---------------------(i)r ----------------------11i01

SECTION C: TO BE COMPLETED BY THE APPROPRIATE AREA SUPERINTENDENT OR DIVISION HEAD

Jane Cline/Central Area Superintendent Administrator Name (print) I Title

Gino Butte/Assistant Superintendent, Information Technology Administrator Name (print) I Title

to f ;z_s- /; lo re

SECTION D: TO BE COMPLETED BY SANDY KIMPLE, WAREHOUSE SUP VIS 44, 160-14- / 1 /lb

Sandy Kimple, Supervisor, Warehouse Services I Date

JUL 0 7 2016 Office Of Purchasing & Warehouse Services

Phone: (321) 633-1000 Ext 645 - Fax: (321) 633-3618 arehouse: (321) 633-3680 Ext. 14100 - Fax: (321) 633-3698

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SURPLUS PROPERTY DISPOSAL JUSTIFICATION FORM

The School Board requires an explanation as to why an item is determined to be surplus when it falls into one of the following categories:

1. Less than S Years old 2.0ri inal cost was more than $5 000 3. Has not et met its life c cle

When disposing of an item that applies to any of the these three areas, this form must be completed in its entirety, signed by the appropriate department head(s), and returned to the Warehouse (attention Sandy Kimple) before a pick-up date will be scheduled.

Please complete fill areas below, giving as much detail as possible:

SECTION A: TO BE COMPLETED BY THE WAREHOUSE

Asset #: 020094153 Description of Item: Computer Repair Training System

Acquisition Date: 812212000 Original Cost: $9, 109.00 Current Book Value: $0.00 Life Cycle: 5 Years -----

SECTION B: TO BE COMPLETED BY THE SITE ADMINISTRATOR

1. Check (v) one of the following boxes:

D ltem(s) are uneconomical to repair or [l] ltem(s) obsolete & no longer usable

2. It is required to attach supporting documentation or complete the details section below. Your items will not be picked up if this information isn't provided.

3• Details: This is a Tech Prep -PC repair training tool that is no longer usable. In addition the course in no longer offered.

Stephanie Soliven/Principal, Cocoa High School Administrator Name (print) I Title Date

---------------------(i)- ----------------------1110'

SECTION C: TO BE COMPLETED BY THE APPROPRIATE AREA SUPERINTENDENT OR DIVISION HEAD

Jane Cline/Central Area Superintendent Administrator Name (print) I Title

Gino Butte/Assistant Superintendent, Information Technology Administrator Name (print) I Title

Office Of Purchasing & Warehouse Services Phone: (321) 633-1000 Ext 645 - Fax: (321) 633-3618

6lfx/u,

Warehouse: (321) 633-3680 Ext. 14100 - Fax: (321) 633-3698 l-\~::::::======~;;J_~~~~~--z~ '(j~~~~~~~~~~~--J

SURPLUS PROPERTY DISPOSAL JUSTIFICATION FORM

The School Board requires an explanat ion as to why an item is determined to be surplus when it falls into one of the following categories:

1. Less than 5 Years old 2. Original cost was more than $5,000 3. Has not yet met its life cycle

When disposing of an item that applies to any of the these three areas, t his form must be completed in its entirety, signed by the appropriate department head(s), and returned to the Warehouse (attention Sandy Kimple) before a pick-up date will be scheduled.

Please complete fill areas below, giving as much detail as possible:

SECTION A: TO BE COMPLETED BY THE WAREHOUSE

Asset #: 020103329 Descript ion of Item: Tape System, Cybernetics Dual Tape Drive

I Acquisit ion Date: 6/28/2002 Original Cost: $15,590.00 Current Book Value: $0.00 life Cycle: 3 Years - - ---

SECTION B: TO BE COMPLETED BY THE SITE ADMINISTRATOR

1. Check ('1) one of the following boxes:

D ltem(s) are uneconomical to repair or [l] ltem(s) obsolete & no longer usable

2. It is required to attach supporting documentation or complete the details section below. Your items will not be picked up if this information isn't provided.

3. Details: Item is no longer supported for maintenance and cannot be repaired.

Sandy Crews/MIS Director 3 2~ 2Q b Administrator Name (print) I Title Administ tor Signature Date

- --------------- ---- -,(i)r ------------------- -- -l liUJ

SECTION C: TO BE COMPLETED BY THE APPROPRIATE AREA SUPERINTENDENT OR DIVISION HEAD

Administrator Name (print) /Title

Gino Butto/Assistant Superintendent, Information Technology Administrator Name (print) I Title

Date -(;,

1221> J ib Date

SECTION D: TO BE COMPLETED BY SANDY KIMPLE, WAREHOUSE SUPE VIS~ f', ,~ a /; Documentation Reviewed I Submit Request to Board for Approval: 5tJ. &

Sandy Kimpl , Supervisor, Warehouse Services I Date

MAR 3 0 2016 Office of P urchasing & \Varehouse Services

Phone : (32 1) 633-1000, ext. 645 •Fa.'<: (32 1) 633-3618 Wareh ouse: (321) 633-3670 • Fax: (321) 633-3698

SURPLUS PROPERTY DISPOSAL JUSTIFICATION FORM

The School Board requires an explanation as to why an item is determined to be surplus when it falls into one of the following categories:

1. Less than S Years old 2. Original cost was more than $5,000 3. Has not yet met its life cycle

When disposing of an item that applies to any of the these three areas, this form must be completed in its entirety, signed by the appropriate department head(s), and returned to the Warehouse (attention Sandy Kimple) before a pick-up date will be scheduled.

Please complete all areas below, giving as much detail as possible:

SECTION A: TO BE COMPLETED BY THE WAREHOUSE

Asset #: 020105229

Acquisition Date: 1/31 /2003

Description of Item: COMPUTER SYSTEM, COMPAQ PROLIANT

Original Cost: $6,291.00 Current Book Value: $0.00 Life Cycle: 3 Years -----

SECTION B: TO BE COMPLETED BY THE SITE ADMINISTRATOR

1. Check ('II) one of the following boxes:

D ltem(s) are uneconomical to repair ll] ltem(s) obsolete & no longer usable

2. It is required to attach supporting documentation or complete the details section below. Your items will not be picked up if this information isn't provided.

3. Details: Item is no longer supported for maintenance and cannot be repaired.

Sandy Crews/MIS Director Q.v11t.c. ~ , Q._ 3 zz_ zo I b Administrator Name (print) I Title Administratb Signature Date

---------------- -----<i;---------- ----- -------l liUJ

SECTION C: TO BE COMPLETED BY THE APPROPRIATE AREA SUPERINTENDENT OR DIVISION HEAD

Administrator Name (print) I Title

Gino Butto/Assistant Superintendent, Information Technology Administrator Name (print) I Title

SECTION D' TO BE COMPLETED BY SANDY KIMPLE, WAREHOUSE SUPERVISO~ ,~ ~I ft Documentation Reviewed I Submit Request to Board for Approval: ~ O ( {,p

Sandy Kimple, Supervisor, arehouse Services I Date

MAR 3 0 2016 Oftice of Purchasing & Warehouse Services

Phone: (321) 633-1000, ext. 645 • Fa.x: (321) 633-3618 Warehouse: (321) 633-3670 •Fax: (321) 633-3698

~~-;-B-y~~~~~~~-1-~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~•

SURPLUS PROPERTY DISPOSAL JUSTIFICATION FORM

The School Board requires an explanation as to why an item is determined to be surplus when it falls into one of the following categories:

1. Less than 5 Years old 2. Original cost was more than $5,000 3. Has not yet met its life cycle

When disposing of an item that applies to any of the these three areas, this form must be completed in its entirety, signed by the appropriate department head(s), and returned to the Warehouse (attention Sandy Kimple) before a pick-up date will be scheduled.

Please complete fill areas below, giving as much detail as possible:

SECTION A: TO BE COMPLETED BY THE WAREHOUSE

Asset #: 020105357

Acquisition Date: 2/1212003

Description of Item: Computer System, IBM AS400

Original Cost: $1,097,718.00 Current Book Value: $0.00 Life Cycle: 3 Years -----

SECTION B: TO BE COMPLETED BY THE SITE ADMINISTRATOR

1. Check (v) one of the following boxes:

D ltem(s) are uneconomical to repair ll] ltem(s) obsolete & no longer usable

2. It is required to attach supporting documentation or complete the details section below. Your items will not be picked up if this information isn't provided.

3. Details: I Item does not support current software.

Sandy Crews/MIS Director W Administrator Name (print) /Title Administrato ' Signature Date

---------------------(i>----------------------SJljD'

SECTION C: TO BE COMPLETED BY THE APPROPRIATE AREA SUPERINTENDENT OR DIVISION HEAD

Administrator Name (print) I Title

Gino Butto/Assistant Superintendent, Information Technology Administrator Name (print) I Title

SECTION D: TO BE COMPLETED BY SANDY KIMPLE, WAREHOUSE SUPE

Documentation Reviewed/ Submit Request to Board for Approval:--~---+----+-------------

MAR 3 0 2016 Office of Purchasing & "-' a.rehouse Services Phone: (321) 633-1000, ext. 645 •Fax: (321) 633-3618

Warehouse: (32 1) 633-3670 •Fax: (321) 633-3698

SURPLUS PROPERTY DISPOSAL JUSTIFICATION FORM

The School Board requires an explanation as to why an item is determined to be surplus when it falls into one of the following categories:

1. less than 5 Years old 2. QI!ginal cost was more than $5,000 3. Has not et met its life c cle

When disposing of an item that applies to any of the these three areas, this form must be completed in its entirety, signed by the appropriate department head(s}, and returned to the Warehouse (attention Sandy Kimple} before a pick-up date will be scheduled.

Please complete all areas below, giving as much detail as possible:

SECTION A: TO BE COMPLETED BY THE WAREHOUSE

Asset #: 007005319 Description of Item: Auto Scrubber, Windsor Chariot Riding

I Acquisition Date: 8/14/2007 I

Original Cost: $8, 150.00 Current Book Value: $0.00 Life Cycle: 5 Years -----

SECTION B: TO BE COMPLETED BY THE SITE ADMINISTRATOR

1. Check (v) one of the following boxes:

[l] ltem(s) are uneconomical to repair D ltem(s) obsolete & no longer usable

2. It is required to attach supporting documentation or complete the details section below. Your items will not be picked up if this information isn't provided.

3. Details: Daniel Curiale with Central Custodial Services said it was not economical to repair. Central Custodial Services provided our school with a new Auto Scrubber. After receiving the new auto scrubber we were told to OCR the old one.

Pennie Wade/Principal, Lewis Carroll Elementary 6/7/2016

Administrator Name (print} I Title Administrator Signature Date

---------------------<i>- ----------------------1110>

Administrator Name (print} I Title Administrator Signature

JUL O 7 2016 Office Of Purchasing & Warehouse Services Phone: (321) 633-1000 Ext 645 - Fax: (321) 633-3618

Warehouse: (321) 633-3680 Ext. 14100 - Fax: (32 1) 633-3698

Date

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