STATE OF NEVADA
DEPARTMENT OF ADMINISTRATION
Purchasing Division
Property Management Program
515 East Musser Street, Suite 300 Carson City, NV 89701
Phone: 775-684-0192 Fax: 775-684-0188
RECEIPT OF EXCESS PROPERTY
Receiving Organization Name:
Contact Name:
Phone:
Address:
City, State:
Zip:
ITEM DESCRIPTION
QUANTITY
Property listed above is being donated to your organization pursuant to NRS 333.195. By signing below, the
recipient understands that property listed on this document is being acquired for use within the
agency/organization named herein and not for personal use.
RELEASED BY:
DATE:
PICKED UP BY:
DATE:
RETURN SIGNED DOCUMENT TO PURCHASING OR ITEMS WILL NOT BE REMOVED FROM
INVENTORY. Send Email: sp@admin.nv.gov or Fax: (775) 684-0188