INVENTORY CONTROL

                                                           RECORD OF PROPERTY CONSTRUCTED - IC 2

DATE: _____/_____/_____ DEPARTMENT: _______________________________________

DESCRIPTION: ______________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

(Include Identifying HC Numbers, Serial Numbers, Size, Color, etc.)

CONSTRUCTED BY WHOM: Name: __________________________________________________

Department: _____________________________________________

ESTIMATED LIFE: ______________________ PERMANENT LOCATION: ___________________

COST:

Personal Services: __________________________________

Contractual Services: ________________________________

Commodities: _____________________________________

Equipment: _______________________________________

Other: ___________________________________________

TOTAL: ____________________

SIGNATURES:

____________________________________________ _____/_____/_____

Department Head Date

____________________________________________ _____/_____/_____

Dean Date

____________________________________________ _____/_____/_____

Inventory Control Date

INCLUDE A COPY OF RELEVANT DOCUMENTS.