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DISTRICT OFFICE/FACILITY/HEAD OFFICE:DE NOVO TREATMENT CENTRE

Asset Disposal Issue and Receipt Form


Confirmation reason for
disposal.

1. Redundant
2. Obsolete
No. Item Description Serial No. Barcode 3. Damage/Broken Cost Price
4. For electrical working
with a cost price less
than R1000, office must
confirmed that is tested
and not working.
1 CHAIR VISITOR,NO
42947 REDUNDANT
ARMREST,METALFRAME
2 CHAIR VISITOR,NO
42994 REDUNDANT
ARMREST,METALFRAME
3 CHAIR VISITOR,NO
42998 REDUNDANT
ARMREST,METALFRAME
4 CHAIR VISITOR,NO
42999 REDUNDANT
ARMREST,METALFRAME
5 CHAIR VISITOR,NO
45724 REDUNDANT
ARMREST,METALFRAME
6 CHAIR VISITOR
37607 REDUNDANT
METALFRAME
7 CHAIR VISITOR
37625 REDUNDANT
METALFRAME
8 STAND,HAT @COAT BROKEN
12552
WOODEN
9 BED SINGLE STEEL REDUNDANT
50732

10 TWO WAY RADIOS BROKEN


40201

Total number of items to be Disposed off 10

OFFICIALS CONFIRMING THE REMOVAL OF THE DISPOSED ASSETS TO METRO-SOUTH


ASSET CONTROLLER CORPORATE MANAGER/ FACILITY
MANAGER/HEAD OFFICE SUPERVISOR
Name and Surname:Willem Bogenhagen Name and Surname: Mark November

Signature: Date:22.10.2018 Signature: Date:22.10.20

OFFICIAL CONFIRMING THE RECEIPT OF ASSETS AT METRO-SOUTH


Name and Surname:

Signature: Date:

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