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7.3. SR 04/20/2009
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7.3. SR 04/20/2009
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4/17/2009 3:08:13 PM
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4/20/2009
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Maintenance Equipment Lending and Borrowing Form <br />The purpose of this form is to provide written documentation and identification of the equipment being lent and borrowed <br />between the City of Elk River and Sherburne County. The participants' signatures below indicate that the written information <br />provided herein is agreed upon. <br />1. EQUIPMENT DESCRIPTION <br />Date and time equipment borrowed: <br />Description of equipment borrowed: <br />Date and time equipment returned: <br />Description of the location and how the equipment will be used by the borrower: <br />General description of equipment condition when borrowed: <br />General description of equipment condition when returned: <br />Fuel amount when equipment is issued to borrower: <br />Fuel amount when equipment is returned to lender: <br />RESPONSIBILITIES <br />A. BORROWER <br />The Borrower is responsible for examining the maintenance equipment prior to receiving it from and returning it to <br />Lender. <br />B. LENDER <br />Lender is responsible for examining the maintenance equipment prior to issuing to and receiving it from Borrower. <br />C. SIGNATURES <br />To be completed at the time equipment is both issued and returned. <br />SIGNATURE LENDER ISSUING EQUIPMENT <br />Title: <br />Date: <br />SIGNATURE LENDER RECEIVING EQUIPMENT <br />SIGNATURE BORROWER RECEIVING EQUIPMENT <br />Title: <br />Date: <br />SIGNATURE BORROWER RETURNING EQUIPMENT <br />Title: Date: Title: Date: <br />
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