STANDARD FORM 120 REV.
APRIL 1957
GEN. SERV. ADMIN.
FPMR (41 CFR) 101-43.311

REPORT OF
EXCESS PERSONAL
PROPERTY

1. REPORT NO.

2. DATE MAILED

3. TOTAL COST

$

4. TYPE OF REPORT

(Check one only of

a. ORIGINAL

c. PARTIAL

(Also check "e" and/or "f" if

e. OVERSEAS

"a," "b," "c," or "d")

b. CORRECTED

d. TOTAL W/D

appropriate)

f. CONTRACTORS INV

5. TO (Name and Address of Agency to which report is made) THRU

6. APPROPR. OR FUND TO BE REIMBURSED (If any)

7. FROM (Name and Address of Reporting Agency)

8. REPORT APPROVED BY (Name and Title)

9. FOR FURTHER INFORMATION CONTACT (Title, Address and Telephone No.)

10. AGENCY APPROVAL (If applicable)

11. SEND PURCHASE ORDERS OR DISPOSAL INSTRUCTIONS TO (Title, Address and Telephone No.)

12. GSA CONTROL NO.

13. FSC GROUP NO.

14. LOCATION OF PROPERTY (If location is to be abandoned, give date)

15.REIM. REQD

16. AGENCY CONTROLNO.

17. SURPLUS RELEASE DATE

YES

NO

EXCESS PROPERTY LIST

ACQUISITION COST

FAIR
VALUE

ITEM
NO.

(a)

DESCRIPTION


(b)

COND


(c)

UNIT


(d)

NUMBER OF
UNITS (e)

PER UNIT

(f)

TOTAL

(g)

%


(h)

STANDARD FORM 120 REV.
APRIL 1957 EDITION

(Use Standard Form 120A for Continuation Sheets)
NSN 7540-00-634-4074

PREVIOUS EDITION USABLE