REPORT # 1. New 3. Used-Fair-Poor 6. Salvage 7. Scrap Qty Condition Code Orig.Value Current Value Gain/(Loss) $0.00 $0.00 $0.00 $0.00 $0.00 Reviewer: Phone: APPROVED: Carlton Dowe Date Anna Penn Date Executive Director Chief Financial Officer Takola Creque-Forde Date Tisha Lake Date Fixed Asset Manager Controller Releasing Certification Please Note: This form must be approved before sale/disposal: For more information on disposals contact: Additional Information Description, Mfg, Model, Serial No., Color Additional Information Condition Codes 2. Used-Good 4. Repairs required-Good 5. Repairs required-Poor Form Prepared By Complete Address, Phone Number Virgin Islands Port Authority Fixed Asset Sale/Disposal Form Releasing Custodian Name Releasing Custodian Signature Department Date