MEMORANDUM
TO: Equipment Donation Committee
FROM: _______________________________
_______________________________
DATE: _______________________________
SUBJECT: Property Donation
Request your review of the attached list of items(s) to be donated to Louisiana Tech
University.
The following is additional information on equipment to be donated:
DONOR:_________________________________________________________
_________________________________________________________________
ITEM(S) DONATED:______________________________________________
_________________________________________________________________
VALUE OF DONATED ITEMS (Please include an invoice copy if items are new or a
signed appraisal stating the fair market value if items are used) ________
______________________________________________________________
SPECIAL FEATURES:____________________________________________
_________________________________________________________________
SPECIAL NEEDS:________________________________________________
________________________________________________________________
MAINTENANCE REQUIRED:_____________________________________
________________________________________________________________
SPACE, SAFETY, SECURITY, ETC. NEEDS:_______________________
_______________________________________________________________
INSTALLATION COSTS:________________________________________
_______________________________________________________________
TRANSPORTATION COSTS:____________________________________
_______________________________________________________________
SPECIAL TRAINING NEEDED TO OPERATE THE EQUIPMENT:
________________________________________________________________
Property Donation committee approval/disapproval:
Ms. Ann White:
Approval ______ Disapproval _____
Committee Meeting Required ____
Additional information needed:
_________________________________________________________
_________________________________________________________
Dean Don Kaczvinsky:
Approval ______ Disapproval _____
Committee Meeting Required ____
Additional information needed:
_________________________________________________________
_________________________________________________________
Associate Vice President Dickie Crawford:
Approval ______ Disapproval _____
Committee Meeting Required ____
Additional information needed:
_________________________________________________________
_________________________________________________________
Associate Vice President Ramu Ramachandran:
Approval ______ Disapproval _____
Committee Meeting Required ____
Additional information needed:
_________________________________________________________
_________________________________________________________
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