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College SD |  E  3512  Business and Noninstructional Operations

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EQUIPMENT LOAN FORM

I assume the responsibility for the following district equipment:

Description ID Number

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

I will return the above equipment to

(administrator or designee)

no later than .

(date)

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 COLLEGE SCHOOL DISTRICT

version: April 12, 2005 Santa Ynez, California