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WITHDRAWAL ORDER OF FIXED ASSETS EQUIPMENT

Department: Form number:

Date:

Equipment Type:

Please Insert Image

Equipment Description

Label Number Model

User Department Serial #

Equipment Location

Reason for the Disposal

Adquisition Date Cost

Information from who authorized the disposal for the fix assets

Deliver By Received by

Position Position

Date Date

Note: Please fill a form for every item to be dispose

Person in Charge of the Fix Asset Financial Controller General Manager

Corporative Fix Assets Controller Corporative Controller Corporative Finance Director

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