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Equipment Inventory and Disposition Request (Including all computer hardware and software)
Note: Grantees must include all equipment purchased with grant funds in years 1 5 of the grant, regardless of whether the equipment is classified and coded as supplies in 6300 Supplies and Materials or as 6600 Capital Outlay.
Date of PurchaseItem descriptionSerial number
Item locationPercentage of 21st CCLC federal funds used for purchasePurchase PriceCurrent valueCondition Good, Fair, PoorDisposition Request Retain for 21st CCLC program, Transfer to a similar federal program, Transfer to a local/state program
Revised 12-20-07 EM
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