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2017/2018 CAPITAL OUTLAY REQUEST <br /> List items with a value in excess of$10,000. (DO NOT include CIP items.) <br /> DEPARTMENT: PREPARED BY: DATE: <br /> --------------------------------------------------------------------------------------------------------------------------------------------- <br /> Item Requested Planned Use and Reason Needed <br /> Budget Year(2017 or 2018) <br /> Is this a replacement: Estimated Purchase Price <br /> Item being replaced: Less Trade in value, if any <br /> Expected Useful Life: Net Cost(including sales tax if applicable): $ - <br /> --------------------------------------------------------------------------------------------------------------------------------------------- <br /> Item Requested Planned Use and Reason Needed <br /> Budget Year(2017 or 2018) <br /> Is this a replacement: Estimated Purchase Price <br /> Item being replaced: Less Trade in value, if any <br /> Expected Useful Life: Net Cost(including sales tax if applicable): $ - <br /> --------------------------------------------------------------------------------------------------------------------------------------------- <br /> Item Requested Planned Use and Reason Needed <br /> Budget Year(2017 or 2018) <br /> Is this a replacement: Estimated Purchase Price <br /> Item being replaced: Less Trade in value, if any <br /> Expected Useful Life: Net Cost(including sales tax if applicable): $ - <br /> * Please send to finance <br />