STATE OF CALIFORNIA
PROPERTY TRANSFER REPORT
STD. 158 (REV. 7/2000)
ENTERED ON PROPERTY RECORDS BY (Signature)
(
FROM (Department, Unit, or Office) LOCATION (Address)
DATE
DOCUMENT NUMBER
TO (Department, Unit, or Office)
LOCATION (Address)
CHECK TRANSFER TYPE
INTRA-DEPT.
(SAME FUND)
INTER-DEPT.
(SAME FUND)
BETWEEN
FUNDS
CONTACT PERSON
TELEPHONE NUMBER
LINE ARTICLE
EQUIPMENT
NUMBER
ORIGINAL
PURCHASE
DATE
QUANTITY TOTAL
1
2
3
4
5
6
7
8
9
10
11
12
REASON FOR TRANSFER
APPROVED BY
PROPERTY
SURVEY BOARD
(A MINIMUM OF TWO
SIGNATURES IS
REQUIRED)
SIGNATURES
1.
DATE SIGNED
2.
3.
REVIEWED BY
DEPARTMENT OF GENERAL
SERVICES
4.
RECEIVED THE ABOVE ITEMS
FOR DELIVERY AS DIRECTED
HEREIN
TRUCK DRIVER
5.
I HAVE RECEIVED THE ITEMS
ABOVE
PROPERTY CUSTODIAN
6.
UNIT OR OFFICE
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