Inventory Sheet
Name:___________________________________________________________________________
Address:_________________________________________________________________________
City, State, Zip:___________________________________________________________________
Home Phone:_(_________)_________________________________Date:____________________
Overview of Laptop:
Laptop Model: ___________ Serial # ___________________________ L#_____________
Printer Model: ___________ Serial # ___________________________ P#_____________
Power on Password: ____________________________ Bios Password: __________________________
A missing password may incur additional charges
Science Hardware Charges (Missing Parts)
q Laptop Case $20.00
q Power Cord $15.00
q AC Adapter $71.00
q CD Rom – CD-RW – CD DVD $178.00
q Patch Cable $6.00
Documentation
q Windows License Sticker $60.00
Media
q Quick Restore CD (8 pk/R50) (10 pk/R52) (6pk/R60) $1.00
q Adobe CD (3 pk/R60) _____ X (2 pk/R61) _____ X $20.00
q Vital Source CD (R50-R52-R60) $50.00
Consumables
q Battery (like new condition) $166.00
Your signature on this document confirms that you have returned your laptop with another means other than Technology Services Office. You are also agreeing that further charges may be incurred if the laptop is found to have required parts (cables, cords, cd’s etc.) missing or physical damage not previously reported or discovered.
Student Signature: __________________________________________________
Name Please print: __________________________________________________
Student ID Number: _________________________________________________
Purchased Laptop: Yes ____ No ____