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Chawanakee 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___________________ 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 _________________ .

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 CHAWANAKEE UNIFIED SCHOOL DISTRICT

version: September 17, 1998 North Fork, California