Exhibit 4 - FTC-ADM-80 Inventory Control Form.pdf

FTC-ADM-80 (04/94) NO:

FEDERAL LAW ENFORCEMENT

TRAINING CENTER

INVENTORY CONTROL FORM

Issued To (print name & Signature Org Unit) Est Date of Return

Date Issued Organizational Unit Property Custodian Phone Number

Property Description FLETC Number Serial Number

SITE REMOVAL AUTHORIZATION

I hereby authorize to remove (PC Signature) (Print Name) the above specified property form the FLETC grounds.

(Date)

I accept all liabillity associated with the removal of this property.

(Signature)

Follow-up dates (1) (2) By (1) (2) Remarks Date (1)

Remarks Date (2)

Date Returned to Organizational Unit Received By

Copy 1- Remains with Property (to PC following return) Copy 2- Remains with Property (to remover following return) Copy 3- Security Gate (for Site Removal only) Copy 4- Property Custodian (at time of property removal)

SECTION J - EXHIBIT 4

Sheet1