ENG H193 Company Store Borrow Form

Team Number:

Class Time:

Date:

Part Number

Part Description

Price/Unit

Hours

Quantity

Total

Date Out/Time

Received By

Date In/Time

Received From

(store)

Your team has until the next class period to evaluate the part. If it is not returned in that time period, your team has just bought this item and can return it for 75% of the orginal value. If the part is damaged or modified, it may or may not be returned pending store manager's judgement as to the extent of the damage.

Returned By

Returned To

(store)

Revision B, 04/14/03