OPERATIONAL EQUIPMENT & PP&E DISPOSAL FORM*

DATE 11/2/2021
DESTINATION**: DONATION OR GARBABE DISPOSAL
FORM NUMBER #02112021

QUANTITY ITEMS DESCRIPTIONS ITEM

COST TOTAL COST OBSERVATION

$ -
29 AC UNITS INDOOR N/A $ - NOT ABLE TO REPAIR
21 AC UNITS OUTDOOR N/A $ - NOT ABLE TO REPAIR
$ -
$ -
$ -
$ -
$ -
$ -
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$ -
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$ -
$ -

AMOUNT $ -
* Please attach photos of the items
**Destination options: SALE, DONATION OR GARBABE DISPOSAL.

COST CONTROLLER FINANCIAL CONTROLLER GENERAL MANAGER