Research Corporation of the University of Hawaiʻi

PFMO-73
KFS Document No.: ______________
UNIVERSITY OF HAWAI‘I FABRICATED EQUIPMENT
Asset Representative:
Department:
Equipment description: __________________________________________________________ Additional description (which specifically identifies the item): ____________________________ ______________________________________________________________________________ ______________________________________________________________________________ On-campus location: ____________________________________________________________
Building Campus Code Building Number Room Number Off-campus location (if applicable): ________________________________________________
Ownership: _________________________________________ University, Federal or Agency
Account number(s): ______________________________________ Estimated completion date: _______________________
Estimated total amount: __________________________
Years expected to retain asset once fabrication is complete: _____________
_______________________________________ _____________ _____________________ Signature of Fiscal Administrator FA Code Date
For use by Property and Fund Management Office:
Asset Number: _______________ Asset Tag Number: ________________
____________________________________________
____________________________________________
Date: ___________ MM/DD/YY
Revision Date: 05/16/13