Technology Department

Equipment Transfer Form

Date Requested: __________________ Date Delivered: ________________

Item (Description): _____________________________________________________________

Cost: $ _______________ S/N: _______________________ OEISD #: _______________

Delivered to: ________________________________________ Room # :________________

(person/department) (location)

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Campus/Department

Account # to charge cost to: _______________________________________________

Account description: _____________________________________________________

Authorizing signature(s): ________________________/________________________

(person receiving item) (supervisor)

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Technology

Account # to credit cost to: ________________________________________________

Account description: _____________________________________________________

Authorizing signature(s): _________________________________________________

Notes: _______________________________________________________________________

______________________________________________________________________________

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Business Office

Journal Entry to record transfer:

________________________________________________________________________

________________________________________________________________________

Date Posted: ____________ Initials: _______________