Attachment 31 - Equipment Inventory


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Attachment 31 - Equipment Inventory (pdf)


Attachment C

EQUIPMENT INVENTORY

Items of Equipment with a Current Fair Market Value of $5,000 or More and Purchased with Federal Grant Funds

Official Signature:

Printed Name:

Title:

Telephone Number:

Grant Number:

Date of submission:

Is this program continuing beyond the expiration date of this CNS grant?

  • Yes
  • No

If the above answer is YES, does the grantee request to continue use of all or part of the equipment?

  • Yes (identify all such equipment below by marking it with a double **)
  • No

OR

Does the grantee request the use of the equipment on other federally supported activities?

  • Yes
  • No
Title Holder/Funding Source (e.g. Grantee/CNS) Item Description Equipment Serial No. Location/Site and Condition* Acquisition Date/Cost Estimated Current Fair Market Value Disposition / Date
_
_
_
_
_
_
_
_
_
_
_
_
_
_

* E-Excellent VG-Very Good G-Good F-Fair P-Poor

If the grantee does not request continued use of items of equipment, the Corporation will issue disposition instructions upon receipt of the inventory.