SF-123-A Transfer Order-Surplus Property (continuation sheet)

TRANSFER ORDER
SURPLUS PERSONAL PROPERTY

ORDER NUMBER(S)

PAGE

OMB Control Number: 3090-0014
Expiration Date: 1/31/2019

a.

(Continuation Sheet)
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 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: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW,
Washington, DC 20405.

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 123A (REV. 11/2015)
Prescribed by GSA FMR (41 CFR) 102-37