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COMPUTER EQUIPMENT SIGN-OUT SHEET
New Jersey

I have received the following hardware and understand that it is in good working condition and is to be used for official business only.
 

NAME:  _________________________ SIGNATURE:  ______________________

SECTION/UNIT:  _________________ DATE:  ____________________________
 

PERSONAL COMPUTER MODEL:_________________________________________

SERIAL #_________________________________________

DMU TAG_________________________________________
 

PRINTER MODEL:__________________________________________

SERIAL #__________________________________________

DMU TAG__________________________________________
 

OTHER MODEL:__________________________________________

SERIAL #__________________________________________

DMU TAG__________________________________________
 

COMMENTS: ____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

___________________________________________________________________________________

DMU ADMINISTRATOR:________________________________
g:\dmudir\gen\hwout.doc

Received by NCSL 12-22-98


Return to Acceptable Usage

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