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CAN No. Barcode/Decal Number Serial Number Description of Property (Noun Name. Mfg Name, Model Number, Stock Number) QTY Unit of Issue Cond. (see below.) Total Cost Unit Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Special Processing Requirements: Project Officer Assigned Yes *IRM Clearance *IRM Equipment certified free Date: PO Signature: No IRM Signature: No Yes of commercial software/sensitive information Signa.

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