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STATE OF WEST VIRGINIA Purchasing Division Surplus Property Unit WV-103 Inventory Form Rev. 10/31/14 Page of SURPLUS PROPERTY RETIREMENT FORM Date Retirement Number For use when retiring equipment with an acquisition cost of 1 000 or less and not on the wvOASIS Fixed Assets System Org Object Code Department Name To Be Assigned by the Agency Recommended Disposition Method CHECK ONLY ONE Department Address Submit Completed Form to Deliver to Surpl.

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