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TYPE TRANSACTION newly acquired property room change only department change other (explain ) This form must be filled out when moving any JSU property that originally cost $5000.00 or more. BUILDING FROM: BUILDING TO: ROOM FROM: ROOM TO: SEPARATE SHEET NECESSARY FOR EACH RECEIVING BUILDING Quantity Description JSU bar coded sticker # Please put items serial # if no JSU tag # is available. I accept full responsibility and accountability for all the above items: ( signature please ) Da.

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