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University of Denver University Technology Services 2100 So. High Street Denver, CO 80208
303 871-2113 Jason Bach
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TECHNOLOGY INVOICE / TRANSFER OF OWNERSHIP
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quantity |
description (Equipment type, model, Serial Number, DU Property Tag, if any) |
unit price |
EXTENDED COST |
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RTD Tax = 1.2%(acct #550662-21040) |
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State Tax = 2.9% = (acct # 550662-21050) |
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City Tax = 3.62% = (acct # 550662-21060) |
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TOTAL |
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This document certifies that the above stated equipment is no longer property of the University of Denver.By signing this document you acknowledge that :
1. All University licensed software, including but not limited to Microsoft Windows and/or Microsoft Office, has been removed from this equipment.
2. Any FERPA/HIPAA or other protected information has been securly deleted from
this equipment.
3. You assume all rights, responsibilities and ownership.
4. You will dispose of this equipment in an ecologically sound manner.
5. There is no warranty expressed or implied with the above stated equipment.
Signature:_________________________________
Date:_______Verification of Receipt:________________
ATTENTION CASHIERS OFFICE:PLEASE DEPOSIT MONEYS (other than sales tax)INTO:
Banner FOAP # _________________________________________________
