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{ J /% IeSI <br /> 7 CO E Ep ,,,/ PIAN Are orR r%T <br /> j 3 X67 .. toil <br /> 'GAT D R 4 FiATI M IST - E NM6 <br /> =COMPLETE — <br /> RETIREMENT FIEPOFIT <br /> r�- x <br /> ATE COMP EO ESrilAATENUM9f:q <br /> ©lve full and complete description of property retired from plan!account.In case of mains,location must be accuralely given. <br /> Draw elch below or upon socompanying sheet if necessary. <br /> f ✓ ' <br /> 1' <br /> Approxirn to dale of original installation. <br /> &vecurnplete dcacriptlon of property retired-above and Stale what portion has boon ; <br /> Salvaged In usable condition: <br /> i /Y f <br /> ' I <br /> * ! 1 <br /> Removed and IunkecS' r � <br /> O <br /> Ablindonea In place:..--� r <br /> 14010 in this space alfchanges.1rorll roll remenE ituthorized in origInat estimate and authority for making Changes: <br /> I <br /> NOTE_This report must be submitted immedlately MANAGER <br /> upon completion at rodrement. <br /> 12 11 IS-18 -22 23-27 28-46 FOR GENERAL OFFICE use y 59-66 � <br /> AASH YEAREST OTV GseCRiPT�pN ACCT HISTORICAL COST SALVAGE AMT <br /> i <br /> :I <br /> i <br /> L <br /> , F <br /> i <br /> h; <br /> 4 <br /> �I <br /> TOTAL SOAK VALUE <br /> Approved by Approved by <br /> Engt Karinp Qepartmeni FOPM 150-PIE V,3-TI <br /> EpHcat <br /> Three part form. Original:Actg,Dept. Duplicate:Fngr,pBR4 Tro:Glatrict i <br />