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Atascadero USD |  E  3512  Business and Noninstructional Operations

Equipment   

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EQUIPMENT LOAN FORM

I assume the responsibility for the following district equipment:

Description Asset Number Serial Number

School-related purpose: (Note: items are not for personal use)

I will return the above equipment to

(administrator or designee)

no later than .

In borrowing the items listed above, I assume responsibility for any loss of or damage to the equipment or materials. If any items are damaged or lost, I will pay the cost of repairs or replacement.

Signed:

Date:

Approved:

Date:

Exhibit ATASCADERO UNIFIED SCHOOL DISTRICT

version: April 4, 2000 Atascadero, California

revised: June 26, 2012