University of Denver

University Technology Services

2100 So. High Street

Denver, CO  80208

 

303 871-2113 Jason Bach

 

 

DU Logo

 

TECHNOLOGY INVOICE / TRANSFER OF OWNERSHIP

 

quantity

description

(Equipment type, model, Serial Number, DU Property Tag, if any)

unit price

EXTENDED COST

 

 

 

 

 

 

 

 
 

 

 

 
 

 

 

 

 

RTD Tax = 1.2%(acct #550662-21040)

--------------------

 

 

State Tax = 2.9% = (acct # 550662-21050)

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City Tax = 3.62% = (acct # 550662-21060)

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TOTAL

 

 

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 # _________________________________________________


Copyright © 2011. Facilities Management Department, 2400 S. Race St. Denver, Colorado 80208
303.871.4819 (Phone) | 303.871.4100 (Fax) | Privacy Policy | Contact Us | Date Last Revised August 31, 2011

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