Equipment Disposal Form - Perkins (CA Dept of Education)



California Department of Education Career and College Transition Division

Form Number VE-35 Revised September 2012

CAREER TECHNICAL EDUCATION INVENTORY

EQUIPMENT DISPOSAL/REMOVAL FORM

|Certification: I hereby certify that federal 34 CFR Section 80.32 and Education Code 35168 equipment-management regulations have been met and |Return form to: |

|that the equipment listed is no longer used in the CTE programs/services for which it was purchased and request its removal from the LEA |CTE Administration and Management Office |

|equipment inventory. |California Department of Education |

|  |1430 N Street, Suite 4202 |

| |Sacramento, CA 95814 |

| |Telephone: 916-324-5706 |

|LEA Name: |  | LEA Address: |  | CDE Approval by: |  |

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| Printed Name of Authorized Representative: | Title: | Title: |  |  |  |

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| Original Signature of Authorized Representative: |  |  | Date: | Date: | |  |  |

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|Equipment Description |Equipment I.D. # |Funding |Acquisition |Acquisition |Trade–in |Reason for Removal |

| | |Source |Date |Cost |Appraisal | |

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