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Grantee Organization: <br />Contract Number <br />Employee completing form: <br />Email: <br />Date Completed <br />Equipment Descripton <br />Date Reimbursed <br />(refer to date of <br />request for <br />Cost Notes <br />Ex: Drone 4/28/2023 $1,000 used for surveying creeks <br />Signature of Employee Completing Form Date <br />At the time of contract close-out, grantees should use this form to inventory all equipment with a value of $500 or more that was purchased by the grantee using StRAP funds. If an item has been disposed of or <br />lost, please indicate the manner of disposal (lost, damaged, used completely, etc.) in the "Current Location" column. For item description, cost, and reimbursement date, please refer to the invoice that was attached <br />to the StRAP Request for Payment form when the item was reimbursed by StRAP. This form only needs to be completed for individual items with a value of $500 or more. For example: if 5 sets of waders each <br />costing $125 were purchased together, these waders would NOT need to be documented on this form as the individual cost of each item is less than $500. <br />Current Location <br />Division office at 216 W Jones St, Raleigh <br />Equipment Inventory Form <br />Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85