Individual Inventory Transfer Record

Health and Human Services Agencies INDIVIDUAL INVENTORY/EQUIPMENT TRANSFER RECORD Form HHS-AM01. February 2013 I. ASSIGNMENT Agency No. Purchase Order No. (new equipment only) Date 529 Cross Park PC Refresh 02/12/16 DESCRIPTION & SANITIZE PROCESS HHS TAG NO. SERIAL NO. DESCRIPTION OF PROPERTY LOCATION. MAIL CODE ................
................