WPC  77WPC >?H~A ?' @]4?Pu4?Ow?O?vy#=$4<$5^o75Z67>  (  (Untitled)'3,, , ,   UB ) 3    *    d +    d ,    d /0ghjklmnopqrstuvwxyz{|}~P* * f:\inf41\y2kforms\y2knew\ad107.wpf c:\temp\ad107.wpfUS<&&&&&&  >?Hf eh Terminal 1 ! ZS  d      Terminal eb Arial " ! <S  d    Arial ev Times New Roman  ! <S  d    Times New Roman ex Helvetica-Narrow " ! (5 S  d    Helvetica-Narrow eb Roman  ! 2L   d    Roman eh Helve-WP " ! <S  d     Helve-WP ej Wingdings  ! S  d     Wingdings eX  ! <S  d     eh MS Serif  ! <S  d     MS Serif ed Modern 2 ! x."  d    Modern ej Bodoni-WP  ! <S  d     Bodoni-WP er MS Sans Serif " ! FS  d    MS Sans Serif ed System " ! Z@   d    System er CG Times (WN)  ! <S  d    CG Times (WN) ef Courier 1 ! ZS  d     Courier en Univers ATT " ! FS  d     Univers ATT ep Times CG ATT  ! <S  d     Times CG ATT ep Arial Narrow " ! (5 S  d     Arial Narrow en Courier New 1 ! PL5    d      Courier New ?hAd A{?'z jV c:\inf41\database\ AD107.DBFhistory   i(Report#     h REPORT_0 i%Date     h DATE i)Transfer      h TRANSFER  i%Sale      h SALE  i)Trade_In      h TRADE_IN  i)Donation      h DONATION  i-Construction      h  CONSTRUCT6  i&Rehab      h REHAB  i&As_Is      h AS_IS  i2Authorization_Ref      h  AUTHORIZA9  i.Proceeds_Recd     h  PROCEEDS10 i.Report_Agency  ;   h  REPORT_A11; i6Rpt_Prganization_Unit  ;   h  RPT_PRGA12; i.Rpt_Location1  ;   h  RPT_LOCA13; i.Rpt_Location2  ;   h  RPT_LOCA14; i5Rpt_Agency_Signature  ;   h  RPT_AGEN15; i1Rpt_Agency_Title      h  RPT_AGEN16  i,Recd_Agency  <   h  RECD_AGE17< i7Recd_Organization_Unit  ;   h  RECD_ORG18; i/Recd_Location1  ;   h  RECD_LOC19; i/Recd_Location2  ;   h  RECD_LOC20; i6Recd_Agency_Signature  ;   h  RECD_AGE21; i2Recd_Agency_Title      h  RECD_AGE22  i*Recd_Date     h RECD_DATE i(T_1[A1]     h T_1_A1_ i(T_1[B1]  K   h T_1_B1_K i(T_1[C1]     h T_1_C1_ i(T_1[A2]     h T_1_A2_ i(T_1[B2]  K   h T_1_B2_K i(T_1[C2]     h T_1_C2_ i(T_1[A3]     h T_1_A3_ i(T_1[B3]  K   h T_1_B3_K i(T_1[C3] !    h T_1_C3_ i(T_1[A4] "    h T_1_A4_  i(T_1[B4] # K   h T_1_B4_ K i(T_1[C4] $    h T_1_C4_  i(T_1[A5] %    h T_1_A5_  i(T_1[B5] & K   h T_1_B5_ K i(T_1[C5] '    h T_1_C5_ i(T_1[A6] (    h T_1_A6_ i(T_1[B6] ) K   h T_1_B6_K i(T_1[C6] *    h T_1_C6_ i(T_1[A7] +    h T_1_A7_ i(T_1[B7] , K   h T_1_B7_K i(T_1[C7] -    h T_1_C7_ i(T_1[A8] .    h T_1_A8_ i(T_1[B8] / K   h T_1_B8_K i(T_1[C8] 0    h T_1_C8_ i(T_1[A9] 1    h T_1_A9_ i(T_1[B9] 2 K   h T_1_B9_K i(T_1[C9] 3    h T_1_C9_ i)T_1[A10] 4    h T_1_A10_ i)T_1[B10] 5 K   h T_1_B10_K i)T_1[C10] 6    h T_1_C10_ i)T_1[A11] 7    h T_1_A11_ i)T_1[B11] 8 K   h T_1_B11_K i)T_1[C11] 9    h T_1_C11_  i)T_1[A12]! :    h T_1_A12_! i)T_1[B12]" ; K   h T_1_B12_"K i)T_1[C12]# <    h T_1_C12_# i)T_1[A13]$ =    h T_1_A13_$ i)T_1[B13]% > K   h T_1_B13_%K i)T_1[C13]& ?    h T_1_C13_& i)T_1[A14]' @    h T_1_A14_' i)T_1[B14]( A K   h T_1_B14_(K i)T_1[C14]) B    h T_1_C14_) i)T_1[A15]* C    h T_1_A15_* i)T_1[B15]+ D K   h T_1_B15_+K i)T_1[C15], E    h T_1_C15_, i)T_1[A16]- F    h T_1_A16_- i)T_1[B16]. G K   h T_1_B16_.K i)T_1[C16]/ H    h T_1_C16_/ i)T_1[A17]0 I    h T_1_A17_0 i)T_1[B17]1 J K   h T_1_B17_1K i)T_1[C17]2 K    h T_1_C17_2 i)T_1[A18]3 L    h T_1_A18_3 i)T_1[B18]4 M K   h T_1_B18_4K i)T_1[C18]5 N    h T_1_C18_5 i)T_1[A19]6 O    h T_1_A19_6 i)T_1[B19]7 P K   h T_1_B19_7K i)T_1[C19]8 Q    h T_1_C19_8 i)T_1[A20]9 R    h T_1_A20_9 i)T_1[B20]: S K   h T_1_B20_:K i)T_1[C20]; T    h T_1_C20_; i)T_1[A21]< U    h T_1_A21_< i)T_1[B21]= V K   h T_1_B21_=K i)T_1[C21]> W    h T_1_C21_> i)T_1[A22]? X    h T_1_A22_? i)T_1[B22]@ Y K   h T_1_B22_@K i)T_1[C22]A Z    h T_1_C22_A i)T_1[A23]B [    h T_1_A23_B i)T_1[B23]C \ K   h T_1_B23_CK i)T_1[C23]D ]    h T_1_C23_D i)T_1[A24]E ^    h T_1_A24_E i)T_1[B24]F _ K   h T_1_B24_FK i)T_1[C24]G `    h T_1_C24_G i)T_1[A25]H a    h T_1_A25_H i)T_1[B25]I b K   h T_1_B25_IK i)T_1[C25]J c    h T_1_C25_J i)T_1[A26]K d    h T_1_A26_K i)T_1[B26]L e K   h T_1_B26_LK i)T_1[C26]M f    h T_1_C26_M i)T_1[A27]N g    h T_1_A27_N i)T_1[B27]O h K   h T_1_B27_OK i)T_1[C27]P i    h T_1_C27_P i)T_1[A28]Q j    h T_1_A28_Q i)T_1[B28]R k K   h T_1_B28_RK i)T_1[C28]S l    h T_1_C28_S i)T_1[A29]T m    h T_1_A29_T i)T_1[B29]U n K   h T_1_B29_UK i)T_1[C29]V o    h T_1_C29_V i)T_1[A30]W p    h T_1_A30_W i)T_1[B30]X q K   h T_1_B30_XK i)T_1[C30]Y r    h T_1_C30_Y i0DepositTo_Addr1 s ;   h  DEPOSIT114; i0DepositTo_Addr2 t ;   h  DEPOSIT115; i0DepositTo_Addr3 u ;   h  DEPOSIT116; i2Property_Ofc_Sign v &   h  PROPERT117& i2Property_Ofc_Date w    h  PROPERT118 i%BoxA  x    h BOXA  i%BoxB  y    h BOXB  i'Amount z    h AMOUNT i*Schedule# {    h  SCHEDUL122 i0Fiscal_Ofc_Sign | #   h  FISCAL_123# i0Fiscal_Ofc_Date }    h  FISCAL_124 ?1@d @}?PX^X  United States Department of Agriculture  (     Report of Transfer or Other Disposition or Construction of Property  8 !"#                             P  &&&&    OX  Report No. Report#!"-./5>6789:;>?@ABCG                         P #      $      '   Y@$.,! *  < <&&& = &&&    H  Date Date!"-./5>6789:;>?@ABCG                         P #      $      '   Y@$.,! *  < <&&& = &&&    2@HASVALUE (Date) and #UPDATONLY    Date  ~      7@datevalue (@datetext (Date, "%2-%1-%5"))   Date   %2-%1-%5  "  #  4@VALUE (@DATETEXT (Date,"%5"))<=29   Date   %5  "  x         p@SETVALUE (Date, @DATEVALUE (@CONCAT (@DATETEXT (Date,"%2-%1"),"-20",@DATETEXT (Date,"%5"))),TRUE)   Date   Date   %2-%1  "   -20   Date   %5  "      #       zx,  3. Proceeds Received > !"#                             P  <&&&    h  1. Type of Transaction (Report each type separately) # !"#                             P  <&&&    ,  Transfer  d dTransfer#$% &'()+,-.                             P   !  *  1  2      3     &,  Sale  d dSale# $%&'()+,-.                             P   !  *  1  2      3      ,  Trade In  d dTrade_In# $%&'()+,-.                             P   !  *  1  2      3      ,  Donation  d dDonation# $%&'()+,-.                             P   !  *  1  2      3        Construction  d dConstruction#$% &'()+,-.                             P   !  *  1  2      3        Rehab  d dRehab#$%&'()+,-.                             P   !  *  1  2      3     N    As-Is  d dAs_Is #$%&'()+,-.                             P   !  *  1  2      3     i.    2. Authorization Reference. Authorization_Ref! "-./5*6789:;>?@ABCG                         P #      $      '    Y@$.,!6 *  < <&&& = &&&    H@ P $ Proceeds_Recd! "-./5>6789:;>?@ABCG                         P #      $      '    $.,! *  < <&& = &&&    ^0  4. Reporting Agency0 Report_Agency! "-./56 7$89:$;>?@ABCG                         P #      $      ' ;  Y@$.,! *  < &&& = &&&    }0  5. Receiving Agency (Or Name of Purchaser or Donee):0 Recd_Agency!"-./5*6 7$89:$;>?@ABCG                         P #      $      ' <  Y@$.,! *  < <&&& = &&&    i` 0  A. Organizational Unit0 Rpt_Prganization_Unit! "-./56 7$89:$;>?@ABCG                         P #      $      ' ;  Y@$.,! *  < &&& = &&&    V 0  B. Location  Rpt_Location1!"-./567$89:;>?@ABCG                         P #      $      ' ;  Y@$.,! *  < && = &&     ^ 0  C. Signature0 Rpt_Agency_Signature!"-./567$89:$;>?@ABCG                         P #      $      ' ;  Y@$.,! *  < &&& = &&&    V0  D. Title Rpt_Agency_Title!"-./567$89:;>?@ABCG                         P #      $      '  ;  Y@$.,! *  < && = &&&    ` 0  A. Organizational Unit (Or Address of Purchaser)0 Recd_Organization_Unit!"-./5*6 7$89:$;>?@ABCG                         P #      $      ' ;  Y@$.,! *  < <&&& = &&&    Q 0  B. Location Recd_Location1!"-./5*67$89:;>?@ABCG                         P #      $      ' ;  Y@$.,! *  < <&& = &&     _ 0  C. Signature0 Recd_Agency_Signature!"-./5*67$89:$;>?@ABCG                         P #      $      ' ;  Y@$.,! *  < <&&& = &&&    W   D. Title& Recd_Agency_Title!"-./5*6789:;>?@ABCG                         P #      $      '  ;  Y@$.,! *  < <&& = &&&    Pr  E. Dater Recd_Date!"-./5A67 89: ;>?@ABCG                         P #      $      '   Y@$.,! *  < <&&& = &&&    7@HASVALUE (Recd_Date) and #UPDATONLY     Recd_Date  ~      <@datevalue (@datetext (Recd_Date, "%2-%1-%5"))    Recd_Date   %2-%1-%5  "  #  9@VALUE (@DATETEXT (Recd_Date,"%5"))<=29    Recd_Date   %5  "  x         @SETVALUE (Recd_Date, @DATEVALUE (@CONCAT (@DATETEXT (Recd_Date,"%2-%1"),"-20",@DATETEXT (Recd_Date,"%5"))),TRUE) "  Recd_Date    Recd_Date   %2-%1  "   -20    Recd_Date   %5  "      #       }`"  6. Property Items I !"#                             P  &&&    hF  } Quantity   (Or Prop. No.)   !"#                             P  <&&&    h! ` Item Description  * (Give Full Details Including Serial Numbers, If Any, and Condition Code) 4 !"#                             P  <&&&     hL"  Inventory  P Value F  !"#                             P  <&&&    `"8T 1 T_1#$(~),-.I/012456789                                    P !  "$%&')*                    (  Y@$.,!  ( &&& 3 <&&&    A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     ?8?OA     A     A     A     A     A     A     A     A     A     A     A     A     ?F     ?3    ?L    *F"$$% &')*                      Y@$.,!  ( &&&    *"%$%3&')*                    K  Y@$.,!  ( &&&    ,L"&$%&')*                    (   $.,!  ( &<&    *F"'$% &')*                      Y@$.,!  ( &&&    *"($%3&')*                    K  Y@$.,!  ( &&&    ,L")$%&')*                    (   $.,!  ( &<&    *F"*$% &')*                      Y@$.,!  ( &&&    *"+$%3&')*                    K  Y@$.,!  ( &&&    ,L",$%&')*                    (   $.,!  ( &<&    *F "-$% &')*                      Y@$.,!  ( &&&    * ".$%3&')*                    K  Y@$.,!  ( &&&    ,L "/$%&')*                    (   $.,!  ( &<&    *F "0$% &')*                      Y@$.,!  ( &&&    * "1$%3&')*                    K  Y@$.,!  ( &&&    ,L"2$%&')*                    (   $.,!  ( &<&    *F"3$% &')*                      Y@$.,!  ( &&&    *"4$%3&')*                    K  Y@$.,!  ( &&&    ,L"5$%&')*                    (   $.,!  ( &<&    *F"6$% &')*                      Y@$.,!  ( &&&    *"7$%3&')*                    K  Y@$.,!  ( &&&    ,L"8$%&')*                    (   $.,!  ( &<&    *F"9$% &')*                      Y@$.,!  ( &&&    *":$%3&')*                    K  Y@$.,!  ( &&&    ,L";$%&')*                    (   $.,!  ( &<&    *F"<$% &')*                      Y@$.,!  ( &&&    *"=$%3&')*                    K  Y@$.,!  ( &&&    ,L">$%&')*                    (   $.,!  ( &<&    *F"?$% &')*                      Y@$.,!  ( &&&    *"@$%3&')*                    K  Y@$.,!  ( &&&    ,L"A$%&')*                    (   $.,!  ( &<&    *F"B$% &')*                      Y@$.,!  ( &&&    *"C$%3&')*                    K  Y@$.,!  ( &&&    ,L "D$%&')*                    (   $.,!  ( &<&    *F!"E$% &')*                      Y@$.,!  ( &&&    *""F$%3&')*                    K  Y@$.,!  ( &&&    ,L#"G$%&')*                    (   $.,!  ( &<&    *F$"H$% &')*                      Y@$.,!  ( &&&    *%"I$%3&')*                    K  Y@$.,!  ( &&&    ,L&"J$%&')*                    (   $.,!  ( &<&    *F'"K$% &')*                      Y@$.,!  ( &&&    *("L$%3&')*                    K  Y@$.,!  ( &&&    ,L)"M$%&')*                    (   $.,!  ( &<&    *F*"N$% &')*                      Y@$.,!  ( &&&    *+"O$%3&')*                    K  Y@$.,!  ( &&&    ,L,"P$%&')*                    (   $.,!  ( &<&    *F-"Q$% &')*                      Y@$.,!  ( &&&    *."R$%3&')*                    K  Y@$.,!  ( &&&    ,L/"S$%&')*                    (   $.,!  ( &<&    *F0"T$% &')*                      Y@$.,!  ( &&&    *1"U$%3&')*                    K  Y@$.,!  ( &&&    ,L2"V$%&')*                    (   $.,!  ( &<&    *F3"W$% &')*                      Y@$.,!  ( &&&    *4"X$%3&')*                    K  Y@$.,!  ( &&&    ,L5"Y$%&')*                    (   $.,!  ( &<&    *F6"Z$% &')*                      Y@$.,!  ( &&&    *7"[$%3&')*                    K  Y@$.,!  ( &&&    ,L8"\$%&')*                    (   $.,!  ( &<&    *F9"]$% &')*                      Y@$.,!  ( &&&    ??O*:"^$%3&')*                    K  Y@$.,!  ( &&&    ,L;"_$%&')*                    (   $.,!  ( &<&    *F<"`$% &')*                      Y@$.,!  ( &&&    *="a$%3&')*                    K  Y@$.,!  ( &&&    ,L>"b$%&')*                    (   $.,!  ( &<&    *F?"c$% &')*                      Y@$.,!  ( &&&    *@"d$%3&')*                    K  Y@$.,!  ( &&&    ,LA"e$%&')*                    (   $.,!  ( &<&    *FB"f$% &')*                      Y@$.,!  ( &&&    *C"g$%3&')*                    K  Y@$.,!  ( &&&    ,LD"h$%&')*                    (   $.,!  ( &<&    *FE"i$% &')*                      Y@$.,!  ( &&&    *F"j$%3&')*                    K  Y@$.,!  ( &&&    ,LG"k$%&')*                    (   $.,!  ( &<&    *FH"l$% &')*                      Y@$.,!  ( &&&    *I"m$%3&')*                    K  Y@$.,!  ( &&&    ,LJ"n$%&')*                    (   $.,!  ( &<&    *FK"o$% &')*                      Y@$.,!  ( &&&    *L"p$%3&')*                    K  Y@$.,!  ( &&&    ,LM"q$%&')*                    (   $.,!  ( &<&    *FN"r$% &')*                      Y@$.,!  ( &&&    *O"s$%3&')*                    K  Y@$.,!  ( &&&    ,LP"t$%&')*                    (   $.,!  ( &<&    *FQ"u$% &')*                      Y@$.,!  ( &&&    *R"v$%3&')*                    K  Y@$.,!  ( &&&    ,LS"w$%&')*                    (   $.,!  ( &<&    *FT"x$% &')*                      Y@$.,!  ( &&&    *U"y$%3&')*                    K  Y@$.,!  ( &&&    ,LV"z$%&')*                    (   $.,!  ( &<&    *FW"{$% &')*                      Y@$.,!  ( &&&    *X"|$%3&')*                    K  Y@$.,!  ( &&&    ,LY"}$%&')*                    (   $.,!  ( &<&    0*`" ( Certifications of Property and Fiscal Officers 6I !"#                             P  &&    ,*0  7. Property Officer: This transaction is completed and the necessary   entries have been made to adjust the property records proceeds, if any, are   to be deposited to: 7$ !"#      Z                       P  &&    ,0X DepositTo#$(),-9.$/012456789                                    P ! 0"$%#&')*                    ;  Y@$.,!  ( &&& 3 <&&&    A     A     A     ?0#    :0DepositTo_Addr1"$%#&')*                    ;  Y@$.,!  ( &&&    :0DepositTo_Addr2"$%#&')*                    ;  Y@$.,!  ( &&&    :0DepositTo_Addr3"$%#&')*                    ;  Y@$.,!  ( &&&    X/   Signature Property_Ofc_Sign!"-./56<789:;>?@ABCG                         P #      $      ' &  Y@$.,! *  < &&& = &&&    U /@  Date@ Property_Ofc_Date!"-./56<7 89: ;>?@ABCG                         P #      $      ' &  Y@$.,! *  < <&&& = &&&    ?@HASVALUE (Property_Ofc_Date) and #UPDATONLY  (  Property_Ofc_Date  ~      D@datevalue (@datetext (Property_Ofc_Date, "%2-%1-%5")) (  Property_Ofc_Date   %2-%1-%5  "  #  A@VALUE (@DATETEXT (Property_Ofc_Date,"%5"))<=29 (  Property_Ofc_Date   %5  "  x         @SETVALUE (Property_Ofc_Date, @DATEVALUE (@CONCAT (@DATETEXT (Property_Ofc_Date,"%2-%1"),"-20",@DATETEXT (Property_Ofc_Date,"%5"))),TRUE) *  Property_Ofc_Date (  Property_Ofc_Date   %2-%1  "   -20 (  Property_Ofc_Date   %5  "      #       w*b  8. Fiscal Officer *7% !"#                             P  <&&    + P    d dBoxA#$%-&7'()+,-.                             P   !  *  1  2      3     +n^ n The sum indicated below has been received in payment for the property  n disposed of. .7  !"#      Z                       P  <&&    h+ n A. ,7 !"#                             P  &&&    , P    d dBoxB#$%-&9'()+,-.                             P   !  *  1  2      3     h, n B. ,9 !"#                             P  &&&    , n The necessary entries have been made to adjust the accounting records. .9! !"#                             P  <&&&    P-f  Amount ($)f Amount!"-./5*6:789:;>?@ABCG                         P #      $      '    $.,! *  < <&&& = &&&    SR-  Schedule No. Schedule#! "-./5<6:789:;>?@ABCG                         P #      $      '   Y@$.,! *  < <&&& = &&& ?A?v   V/   Signature Fiscal_Ofc_Sign!!"-./5*6<789:;>?@ABCG                         P #      $      ' #  Y@$.,! *  < <&&& = &&&    S/@  Date@ Fiscal_Ofc_Date!""-./5A6<7 89: ;>?@ABCG                         P #      $      ' &  Y@$.,! *  < <&&& = &&&    =@HASVALUE (Fiscal_Ofc_Date) and #UPDATONLY  &  Fiscal_Ofc_Date  ~      B@datevalue (@datetext (Fiscal_Ofc_Date, "%2-%1-%5")) &  Fiscal_Ofc_Date   %2-%1-%5  "  #  ?@VALUE (@DATETEXT (Fiscal_Ofc_Date,"%5"))<=29 &  Fiscal_Ofc_Date   %5  "  x         @SETVALUE (Fiscal_Ofc_Date, @DATEVALUE (@CONCAT (@DATETEXT (Fiscal_Ofc_Date,"%2-%1"),"-20",@DATETEXT (Fiscal_Ofc_Date,"%5"))),TRUE) (  Fiscal_Ofc_Date &  Fiscal_Ofc_Date   %2-%1  "   -20 &  Fiscal_Ofc_Date   %5  "      #       y0x, nU Form AD-107 (11/89) C>  !"#                             P  &&&    00  d This form was electronically produced by Elite Federal Forms,  d Inc. > !"#                            <  &&    > 0 Recd_Location2!"-./5*67$89:;>?@ABCG                         P #      $      ' ;  Y@$.,! *  < <&& = &&&    = 0 Rpt_Location2!"-./567$89:;>?@ABCG                         P #      $      ' ;  Y@$.,! *  < && = &&&    ?=$defg =<$defg <^o elite10.DLL IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. elite10.COM IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. WPIN$ELITE10FunctionSet,4.1 ^=Z|zAZF