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<br />'j <br />I: <br />1 <br />;t', <br />J <br /> <br />e <br /> <br />.. <br /> <br />; <br />,~ <br />;' <br />. <br />" <br />. <br /> <br />. <br /> <br />. <br /> <br />AT! ACliMJ::NT A <br /> <br />e RECEIPT FOR TRAFFI~AFETY SECTION ASSETS e <br />RECEIPT NO. _ <br /> " <br />On behalf of _Ihe Ct tY....9L1&.P.Q1:te , Recipient hereby certify that the below-listed articles <br />have been received in serviceable condition: <br /> <br />" <br /> <br />. <br /> <br /> <br />... <br />.,' <br />;~ <br /> <br />~ <br />!:. <br />.} <br /> <br />. <br /> <br />,II' <br /> <br />i <br /> <br /> <br />;. <br /> <br />, <br /> <br />. <br /> <br />, <br /> <br />,. <br /> <br />i <br /> <br /> <br />~ ! <br /> <br />" <br /> <br />.- <br /> <br />1 2 J 4 5 6 7 8 <br />O,18TS RECIPIENT USEFUL <br />TRANSACTION IDE NT, MFGR'S ACOUISITION LIFE ACOUISITION <br />NUMlJER NUMBER DESCRIPTION SERIAL NUMBER DATE END DATE COST LOCA TION <br /> Intoxi1yzer 4011 AS-A <br /> Intoxi1yzer 4011 AS-A <br /> Cabinet for Intoxi1yzer <br />. <br />.," <br /> <br />e) <br /> <br />.-' <br /> <br />. <br /> <br /> <br />;,I., <br />;" <br />t' <br />., <br />J <br />f <br />.f <br />s <br />.i <br />~ <br />~ <br />'l <br />o~ <br />., <br /> <br />" <br /> <br />~ <br /> <br />"., <br /> <br />.. <br />;.... <br /> <br />"~:~ <br /> <br />,~ <br />'1; <br />ot. <br />.... <br />r <br />.'" <br />., <br />.:~~o <br />.:~:~ <br /> <br />" , <br />, <br /><t- <br />o t. <br />~. <br />'."J. <br />t! <br />., <br />'- <br />. 'I'. <br />'ll <br />.'1 <br />~ <br />, <br /> <br />I agree that these articles will be properly maintained in serviceable condition while they are in Recipient's possession until the end of their useful life <br />as indicated in Column 6 above, 1 lurther agree that during this period. these articles will be used only within the State of Texas. and only in traffic <br />salety-relatt:d tasks, If any of these articles is removed from use In traffic safety-related tasks before the end of its useful life, an amount equal to its <br />fa.r market value at the time 01 removal will be applied to the purchase of equivalent equipment to be used in traffic safety.related projects until the <br />date ciled In Column 6 above, II an article IS losl. Slolen. or rendered inoperable. any proceeds from insurance, sale or other disposal of the ilem shall <br />be apphed as above I further agree Ihat Recipient Will maintain full and accurale records describing the current location and use. and the ultimate <br />d,spOSltlon of each article listed, These records shall be available to the Texas Department of Highways and Public Transportation. or its represen. <br />toltlves. It any reasonable time. and shall be maintained until at least 2 years liter the end of the usefullif\! of each item, <br /> <br />. <br /> <br />. <br /> <br />.... <br /> <br />THE RIGHT TO USE THE ABOVE LISTED A"RTICLES IS TENDERED TO <br />, Subject to the above stated terms <br />and conditions <br />SIGNA TURE' OF PERSON AUTHO'RizE"O TO COMMIT DA'TE- .... ----- <br />STATE DEPARTMENT Of HIGHWAYS AND PUBLIC TRANSPORTATION <br />.' <br /> <br />DATE <br /> <br />SIGNATURE OF PERSON AUTHORIZED TO COMMIT RECIPIENr <br /> <br />TITLE <br />