Attachment 26-Property Acct. Change-FTC-ADM-43.pdf
PDF 270 KB Posted
- Attached to
- Transportation Service FLETC Artesia, NM
- Solicitation number
- 70LART25RPFB00007
About this file
This is Form FTC-ADM-43, a Department of Homeland Security Federal Law Enforcement Training Center (FLETC) Property Accounting Change Report form used to document the transfer or relocation of items between activities. The form includes fields to record FLETC numbers, item descriptions (including serial numbers, model numbers, and bar codes), purchase order numbers, and new location building/room numbers.
The form requires signatures from property custodians and supervisors/P.O. Representatives/COTRs for both sending and receiving activities, along with their respective building/room numbers and activity codes. When items are to be moved, the form must be attached to Move Order Request Form FTC-ADM-46 and forwarded to Assets & Logistics Management Division, Inventory Management, Building 2400. This is a template form with two pages of identical tables for recording multiple items.
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Text version
WHEN COMPLETED.
DEPARTMENT OF
THE FOLLOWING ITEMS
FLETC NUMBER
SENDING ACTIVITY RECEIVING ACTIVITY
Directorate/Office/Division/Branch Directorate/Office/Division/Branch
Property Custodian Printed Name/Signature and Date Property Custodian Printed Name/Signature and Date
IF ITEMS ARE TO BE MOVED, ATTACH THIS FORM TO A MOVE ORDER REQUEST FORM FTC-ADM-46
PLEASE FORWARD TO ASSETS & LOGISTICS MANAGEMENT DIVISION ATTN: INVENTORY MANAGEMENT, BUILDING 2400, DESCRIPTION
(include Serial Number, Model Number and Bar Code, if applicable)
PURCHASE ORDER
NUMBER
NEW LOCATION
BLDG/ROOM
NUMBER
HOMELAND SECURITY
FEDERAL LAW ENFORCEMENT TRAINING CENTER
PROPERTY ACCOUNTING CHANGE REPORT
HAVE BEEN TRANSFERRED
BETWEEN THE ACTIVITIES BELOW
THE FOLLOWING ITEMS HAVE BEEN RELOCATED WITHIN
THE ACTIVITY SHOWN BELOW
Property Custodian Building/Room Number Property Custodian Building/Room Number
Supervisor/P.O. Rep./COTR Signature and Date Supervisor/P.O. Rep./COTR Signature and Date
Activity Code Activity Code
FTC-ADM-43 (12/11) Page 1 of 2
FLETC NUMBER
DESCRIPTION
(Include Serial Number, Model Number and Bar Code, if applicable)
PURCHASE ORDER
NUMBER
NEW LOCATION
BLDG/ROOM
NUMBER
FTC-ADM-43 (12/11) Page 2 of 2
| Button1: |
| FLETC NUMBERRow1: |
| DESCRIPTION include Serial Number Model Number and Bar Code if applicableRow1: |
| PURCHASE ORDER NUMBERRow1: |
| NEW LOCATION BLDGROOM NUMBERRow1: |
| FLETC NUMBERRow2: |
| DESCRIPTION include Serial Number Model Number and Bar Code if applicableRow2: |
| PURCHASE ORDER NUMBERRow2: |
| NEW LOCATION BLDGROOM NUMBERRow2: |
| FLETC NUMBERRow3: |
| DESCRIPTION include Serial Number Model Number and Bar Code if applicableRow3: |
| PURCHASE ORDER NUMBERRow3: |
| NEW LOCATION BLDGROOM NUMBERRow3: |
| FLETC NUMBERRow4: |
| DESCRIPTION include Serial Number Model Number and Bar Code if applicableRow4: |
| PURCHASE ORDER NUMBERRow4: |
| NEW LOCATION BLDGROOM NUMBERRow4: |
| FLETC NUMBERRow5: |
| DESCRIPTION include Serial Number Model Number and Bar Code if applicableRow5: |
| PURCHASE ORDER NUMBERRow5: |
| NEW LOCATION BLDGROOM NUMBERRow5: |
| FLETC NUMBERRow6: |
| DESCRIPTION include Serial Number Model Number and Bar Code if applicableRow6: |
| PURCHASE ORDER NUMBERRow6: |
| NEW LOCATION BLDGROOM NUMBERRow6: |
| FLETC NUMBERRow7: |
| DESCRIPTION include Serial Number Model Number and Bar Code if applicableRow7: |
| PURCHASE ORDER NUMBERRow7: |
| NEW LOCATION BLDGROOM NUMBERRow7: |
| FLETC NUMBERRow8: |
| DESCRIPTION include Serial Number Model Number and Bar Code if applicableRow8: |
| PURCHASE ORDER NUMBERRow8: |
| NEW LOCATION BLDGROOM NUMBERRow8: |
| FLETC NUMBERRow9: |
| DESCRIPTION include Serial Number Model Number and Bar Code if applicableRow9: |
| PURCHASE ORDER NUMBERRow9: |
| NEW LOCATION BLDGROOM NUMBERRow9: |
| FLETC NUMBERRow10: |
| DESCRIPTION include Serial Number Model Number and Bar Code if applicableRow10: |
| PURCHASE ORDER NUMBERRow10: |
| NEW LOCATION BLDGROOM NUMBERRow10: |
| FLETC NUMBERRow11: |
| DESCRIPTION include Serial Number Model Number and Bar Code if applicableRow11: |
| PURCHASE ORDER NUMBERRow11: |
| NEW LOCATION BLDGROOM NUMBERRow11: |
| DirectorateOfficeDivisionBranch: |
| DirectorateOfficeDivisionBranch_2: |
| Property Custodian Printed NameSignature and Date: |
| Property Custodian Printed NameSignature and Date_2: |
| Property Custodian BuildingRoom Number: |
| Property Custodian BuildingRoom Number_2: |
| SupervisorPO RepCOTR Signature and Date: |
| SupervisorPO RepCOTR Signature and Date_2: |
| Activity Code: |
| Activity Code_2: |
| FLETC NUMBERRow1_2: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow1: |
| PURCHASE ORDER NUMBERRow1_2: |
| NEW LOCATION BLDGROOM NUMBERRow1_2: |
| FLETC NUMBERRow2_2: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow2: |
| PURCHASE ORDER NUMBERRow2_2: |
| NEW LOCATION BLDGROOM NUMBERRow2_2: |
| FLETC NUMBERRow3_2: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow3: |
| PURCHASE ORDER NUMBERRow3_2: |
| NEW LOCATION BLDGROOM NUMBERRow3_2: |
| FLETC NUMBERRow4_2: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow4: |
| PURCHASE ORDER NUMBERRow4_2: |
| NEW LOCATION BLDGROOM NUMBERRow4_2: |
| FLETC NUMBERRow5_2: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow5: |
| PURCHASE ORDER NUMBERRow5_2: |
| NEW LOCATION BLDGROOM NUMBERRow5_2: |
| FLETC NUMBERRow6_2: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow6: |
| PURCHASE ORDER NUMBERRow6_2: |
| NEW LOCATION BLDGROOM NUMBERRow6_2: |
| FLETC NUMBERRow7_2: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow7: |
| PURCHASE ORDER NUMBERRow7_2: |
| NEW LOCATION BLDGROOM NUMBERRow7_2: |
| FLETC NUMBERRow8_2: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow8: |
| PURCHASE ORDER NUMBERRow8_2: |
| NEW LOCATION BLDGROOM NUMBERRow8_2: |
| FLETC NUMBERRow9_2: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow9: |
| PURCHASE ORDER NUMBERRow9_2: |
| NEW LOCATION BLDGROOM NUMBERRow9_2: |
| FLETC NUMBERRow10_2: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow10: |
| PURCHASE ORDER NUMBERRow10_2: |
| NEW LOCATION BLDGROOM NUMBERRow10_2: |
| FLETC NUMBERRow11_2: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow11: |
| PURCHASE ORDER NUMBERRow11_2: |
| NEW LOCATION BLDGROOM NUMBERRow11_2: |
| FLETC NUMBERRow12: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow12: |
| PURCHASE ORDER NUMBERRow12: |
| NEW LOCATION BLDGROOM NUMBERRow12: |
| FLETC NUMBERRow13: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow13: |
| PURCHASE ORDER NUMBERRow13: |
| NEW LOCATION BLDGROOM NUMBERRow13: |
| FLETC NUMBERRow14: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow14: |
| PURCHASE ORDER NUMBERRow14: |
| NEW LOCATION BLDGROOM NUMBERRow14: |
| FLETC NUMBERRow15: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow15: |
| PURCHASE ORDER NUMBERRow15: |
| NEW LOCATION BLDGROOM NUMBERRow15: |
| FLETC NUMBERRow16: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow16: |
| PURCHASE ORDER NUMBERRow16: |
| NEW LOCATION BLDGROOM NUMBERRow16: |
| FLETC NUMBERRow17: |
| DESCRIPTION Include Serial Number Model Number and Bar Code if applicableRow17: |
| PURCHASE ORDER NUMBERRow17: |
| NEW LOCATION BLDGROOM NUMBERRow17: |
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