Form SF-123a Transfer Order Surplus Personal Property (continuation s

TRANSFER ORDER
SURPLUS PERSONAL PROPERTY (Continuation Sheet)

ORDER NO.(S)

OMB Control Number: 3090-0014
Expiration Date: 9/30/2012

a.

PAGE

b.
Paperwork Reduction Act Statement
This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions
unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 3090-0014. We estimate that it will take 8 minutes to
read the instructions, gather the facts, and number answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any
other aspects of this collection of information to: General Services Administration, Regulatory Secretariat (MVCB), IC 3090-0014, 1275 First Street, NE., 7th Floor, Washington, DC
20417.

SURPLUS PROPERTY LIST (Continuation of Item 12)

ACQUISITION COST

L/I
NO.

IDENTIFICATION
NUMBER(S)

DESCRIPTION

DEMIL.
CODE

COND.
CODE

QUANTITY
AND UNIT

UNIT

TOTAL

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)

AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is not usable

STANDARD FORM 123 (REV. 9-2012)
Prescribed by GSA FPMR (41 CFR) 101-44.110