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University of Wisconsin-Green Bay
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Stores & Surplus
Declaration of Surplus Property Form
Declaration of Surplus Property Form
Submitted By
Email
U.S. phone number
Department
Building
Room Number
Item 1 Description
Item Transportation
Items need to be picked up
Items will be delievered to the Mail Room
Item 1 Quantity
Item 1 Condition
Good Operating Condition
Fair Operating Condition
May Need Minor Repair
Needs Repair before Operation
Scrap
Item 2 Description
Item 2 Quantity
Item 2 Condition
Good Operating Condition
Fair Operating Condition
May Need Minor Repair
Needs Repair before Operation
Scrap
Item 3 Description
Item 3 Quantity
Ittem 3 Condition
Good Operating Condition
Fair Operating Condition
May Need Minor Repair
Needs Repair before Operation
Scrap
Item 4 Description
Item 4 Quantity
Item 4 Condition
Good Operating Condition
Fair Operating Condition
May Need Minor Repair
Needs Repair before Operation
Scrap
Item 5 Description
Item 5 Quantity
Item 5 Condition
Good Operating Condition
Fair Operating Condition
May Need Minor Repair
Needs Repair before Operation
Scrap
Item 6 Description
Item 6 Quantity
Item 6 Condition
Good Operating Condition
Fair Operating Condition
May Need Minor Repair
Needs Repair before Operation
Scrap
Item 7 Description
Item 7 Quantity
Item 7 Condition
Good Operating Condition
Fair Operating Condition
May Need Minor Repair
Needs Repair before Operation
Scrap
Item 8 Description
Item 8 Quantity
Item 8 Condition
Good Operating Condition
Fair Operating Condition
May Need Minor Repair
Needs Repair before Operation
Scrap
Item 9 Description
Item 9 Quantity
Item 9 Condition
Good Operating Condition
Fair Operating Condition
May Need Minor Repair
Needs Repair before Operation
Scrap
Item 10 Description
Item 10 Quantity
Item 10 Condition
Good Operating Condition
Fair Operating Condition
May Need Minor Repair
Needs Repair before Operation
Scrap
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