exhibit 1 department of juvenile justice property ... · (1) blender hamilton beach hbb250r...
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EXHIBIT 1
Department of Juvenile Justice Property Information Worksheet (PIW)
1
Facility/Provider Name: Street Address: 3090 Powerline Rd, Pompano Bch, Florida 33069
Property #
Description
Manufacturer
Model
Serial #
Acquisition
Cost
Acquisition
Date
Location
Code
Condition
(1) file cabinet with lock
$107.40 12/18/09 Prog. Director good
(1) desk $800.00 Unknown Prog. Director fair
(1) telephone $100.00 Unknown Prog. Director Fair
(1) bookshelves ( sm) (1) bookshelves (large)
$250.00 $400.00
Unknown
Prog. Director fair
(1) 2-drawer desk $600.00 Unknown Prog. Director Fair
(1) chair (1) chair
$500.00 $100.00
Unknown Prog. Director fair
(1) monitor HP LE1851w CNC942PPP9 $120.00 12/17/09 Prog. Director Fair
2-way radio, battery & chger
Maxon SP1402 T090200558 $219.00 12/22/09 Prog. Director good
(1) computer Compaq MXL9520L43 $459.00 12/17/09 Prog. Director good
(1) round table from Desoto 10/10/11 Prog. Director fair
CCTV system with 16 cameras, DVR and monitors
CEFC 16 Ch H.264 DVR 1111007378 (DVR) Approx $15000.00
1/19/12 DVR replaced
Prog. Director Mixture of replaced and original parts
(1) desk $600.00 Unknown Prog. Director fair
(1) chair (2) chairs
$500.00 $100.00 ea
Unknown Prog. Director fair
(1) entertainment unit $700.00 Unknown Prog. Director fair
(1) 2-drawer dresser
$100.00 Unknown
Prog. Director fair
(1) telephone Inter-tel $100.00 Unknown Prog. Director fair
(1) printer HP 8000 MY9AJ240T8 $169.19
12/17/09 APD/Resid. good
(1) chair (1) chair
$500.00 $100.00
Unknown APD/Resid. fair
EXHIBIT 1
Department of Juvenile Justice Property Information Worksheet (PIW)
2
Property #
Description
Manufacturer
Model
Serial #
Acquisition
Cost
Acquisition
Date
Location
Code
Condition
(1) bookshelf $400.00 Unknown APD/Resid. fair
(1) desk $600.00 Unknown APD/Resid. fair
(1) 4 drawer cabinet $200.00 Unknown APD/Resid. fair
(1) 2-way radio, battery & charger
Maxon SP1402 T090200555 $219.00 12/22/09 APD/Resid. good
(1) telephone
Inter-tel $100.00 Unknown APD/Resid. fair
(1) map from Desoto 10/10/11 APD/Resid. fair
(1) bookshelf
$250.00 Unknown APD/Tx fair
(1) 2-way radio, battery & charger
Maxon SP1402 T090200549
$219.00 12/22/09 APD/Tx good
(1) printer
HP Officejet Pro 8000
MY9AJ240SH
$169.19 12/17/09
APD/Tx good
(1) printer HP Photosmart C6380 MY94A9D1ZZ
$139.99 10/8/09 Prog. Director good
(1) monitor Samsung 933SN CM19N9FS737538T
$119.99
10/15/09 Admin. Assis good
(1) computer Dell DCFM 870X2F1
Admin. Assis
(1) shredder GBC SC170 $113.79 12/18/09 Admin. Assis fair
(1) 2-way radio, battery & charger
Maxon SP1402 T090200560
$219.00 12/22/09 Admin. Assis good
(1) printer HP SNPRC0702-01/ Office 8000 color
CN1833Q07C
$149.99 2/3/12 Admin. Assis good
(8) leather chairs $106.73 each Total:$853.84
11/18/09 Conference room
good
(1) table $700.00 Unknown Conference room
fair
(1) dry erase board $200.00 Unknown Conference room
fair
(1) easel
from Desoto 10/10/11 Conference room
fair
(1) chair from Desoto 10/10/11 Conference room
fair
(1) library cart from Desoto 10/10/11
Conference room
fair
EXHIBIT 1
Department of Juvenile Justice Property Information Worksheet (PIW)
3
Property #
Description
Manufacturer
Model
Serial #
Acquisition
Cost
Acquisition
Date
Location
Code
Condition
(1) set of 4 training videos Seeking Safety
$250.00 11/2/09 Day room fair
(24) chairs - red Modu Form 520-50 Total
$625.00 each $15,000.00
Unknown Day room good
(1) filing cabinet $100.00 1/2/2000 Day room fair
20-007208
(1) laptop Acer Travelmate 4072 61502D552500
$880.00 5/12/06 Day room fair
(2) bulletin boards Total
$50.00 each $100.00
Unknown Day room fair
(1) dry erase board $219.52 11/18/09 Day room fair
(2) desks Total
$600.00 each $1,200.00
Unknown Day room fair
(2) desk chairs Total
$500.00 each $1,000.00
Unknown Day room fair
(1) office chair from Desoto 10/10/11 Day room fair
20-007159 (1) defibrillator
Phillips B06D00564 $1,150.00 05/08/06 Day room good
20-007818 (1) CPU Dell GX520 JHRPYB1 $1,015.88 10/13/06 Day room fair
35-003020 (1) CPU Dell GX240
5JLGX01 $1,633.00 10/3/02 Day room fair
(1) Young Men’s Work (pk)
$275.00 12/28/09 Day room fair
(1) 2-way radio Motorola CP150 018THAR750 $200.00 Unknown Day room fair
(1) DVD player Sony DVPNS7108/B 8521360
$119.98 12/8/09 Day room good
(2) 2-way radio, battery & charger
Maxon SP1402
T090200561/200550
$219.00 ea Total:$438.00
12/22/09 Day room good
(1) tilting wall-mount for tv Sanus
$107.99
12/8/09 Day room good
(1) 52 ‘ LCD television Samsung LN52B550KIF AUD23CPSB01133Z $1,147.99 12/8/09 Day room good
(3) 2-way radio Motorola CP150
018TESW731/790/ 737
$200.00 ea total : $600.
Unknown Day room fair
(2) 2-way radio Motorola CP150
018TGS6G93/TGS6HO
$200.00 ea Total : $400.
Unknown Day room fair
EXHIBIT 1
Department of Juvenile Justice Property Information Worksheet (PIW)
4
Property #
Description
Manufacturer
Model
Serial #
Acquisition
Cost
Acquisition
Date
Location
Code
Condition
(4) 2-way radio Motorla CP150 $200.00 Total : $800.
Unknown Day room
(1) computer w/ monitor Dell GX270 68SHL51
Intake office
(1) couch, 2 seater from Desoto 10/10/11 Intake office
(1) couch, 3 seater from Desoto 10/10/11 Intake office
(1) lamp
from Desoto 10/10/11 Intake office
(1) ice maker Ice-O-Matic ICEU300FA2 09081280010038 $1,527.53 8/24/10 Kitchen
10-000182
(1) slicer Unknown 444148/6509 Kitchen
10-01142
(1) steamtable Seco 7118744 975490H $3,065.00 06/16/97 Kitchen
(1) worktable – stainless steel
Unknown
$300.00 Unknown Kitchen
(1) worktable – stainless steel
Unknown $300.00 Unknown Kitchen
(1) worktable with sink – stainless steel
Unknown
$990.00 Unknown Kitchen
(1) cart from Desoto 10/10/11 Kitchen
(2) coat racks Unknown from Desoto 10/10/11 Kitchen fair
(1) Bain Marie Unknown from Desoto 10/10/11 Kitchen fair
(2) Dunnage from Desoto 10/10/11 Kitchen fair
Project 10 Grant
(1) mixer, countertop Kitchenaid KM2560K
W02020297
$636.56 6/24/10 Kitchen Good
Project 10 Grant
(4) chafer
Vollrath $460.32 6/24/10 Kitchen
Good
10-000444 (1) refrigerator/freezer – walk-in
Kolpak $15,000.00 6/11/97 Kitchen Fair
10-000442 (1) 15-gallon mixer Univex M-20 51171 $1,200.00 6/11/97 Kitchen
unknown
06-002024 (1) Frymaster double basket fryer
Frymaster 9704NM0007
$1,400.00 05/28/01 Kitchen fair
00-003385 (1) Refrigerator, reach-in True Brand
True Brand $1,000.00 7/7/2000 Kitchen fair
EXHIBIT 1
Department of Juvenile Justice Property Information Worksheet (PIW)
5
Property #
Description
Manufacturer
Model
Serial #
Acquisition
Cost
Acquisition
Date
Location
Code
Condition
(1) blender Hamilton Beach HBB250R
A4170L01416
$176.05 12/24/09 Kitchen good
(1) food processor Cuisinart/Waring WFP11 3144277 $406.60 12/23/09 Kitchen good
(1) 2-way radio, battery &
charger Maxon SP1402
T090200556 $219.00 12/22/09 Good
(1) cart, 3 tier from Desoto 10/10/11 Kitchen
(2) lockers from Desoto 10/10/11 Kitchen
(4) dish racks from Desoto 10/10/11 Kitchen
80-002099 (1) range, electric
Garland S864 11061001001S1 $8,049.29 6/14/11 Kitchen
(1) step stool from Desoto 10/10/11 Pantry
(1) utensil cart from Desoto 10/10/11 Dining room
10-001222 (1) dishwasher
Hobart 231003058 $5,995.00 08/06/97 Kitchen
Broken
(7) stainless steel tables with 4 seats each
$1,475.00 each
Unknown Dining room
09-000674 (1) stove (grill)
Garland D632336 $4,429.00 5/25/2000 Outside
(1) hole puncher GBC Electric Punch 323
Ass. # 7704271 $119.99 11/19/09 Admin Assis
(1) telephone Inter-tel Exec. Digital Terminal
$700.00 Unknown Master Control
(1) couch – 2 seater
from Desoto 10/10/11 Reception area
fair
upgrade to CCTV system with 8 security camera system; DVR and monitors
DVR : Eyemax DVR : HX-16 DVR : 1206001000293
$6,250.00 6/11/12 PD Office/ various
good
(2) 2-seat/table 2 combo
$800.00 each Unknown Reception room
fair
(1) magnetic walk through Garnett CS-5000 Reception room
fair
(1) computer
Dell E550 MY-07753T-46632-04L
Unknown Unknown Master control
unknown
(1) 5-drawer file cabinet $125.00 Unknown Nurse station fair
EXHIBIT 1
Department of Juvenile Justice Property Information Worksheet (PIW)
6
Property #
Description
Manufacturer
Model
Serial #
Acquisition
Cost
Acquisition
Date
Location
Code
Condition
(1) 2-drawer file cabinet $100.00 Unknown Nurse station fair
(1) desk
$600.00 Unknown Nurse station fair
21-00242 (1) laptop Dell Latitude D505 3N1QJ71 $1,388.37 5/19/05 Nurse station unknown
(2) bookcases $250.00 each $500.00
Unknown Nurse station fair
(1) scale Detecto $291.50 12/31/09 Nurse station good
(1) medication cart $990.00 Unknown Nurse station fair
(1) refrigerator $200.00 Unknown Nurse station
(1) storage cart $100.00 Unknown Nurse station
(2) chairs – 1 desk chair 1 side chair
$500.00 $100.00
Unknown Nurse station
(1) telephone $100.00 Unknown Nurse station
(1) 2-way radio, batt & chger
Maxon SP1402 T090200553 $219.00 12/22/09 Nurse station
(1) pair crutches $50.00
Unknown Nurse station
(1) printer HP Office Jet Pro 8000
MY9AJ240T2 $169.19 12/17/09 Nurse station
(1) storage cabinet $500.00 Unknown Nurse station
(1) biohazard bin
$100.00 Unknown Nurse station
(1) shredder
Fellowes P-48C None $119.05 11/27/12 Nurse station
(1) exam table
UMF 5140 $500.00 Unknown Nurse station
(1) blood pressure Trimline CE 0086 $100.00 Unknown Nurse station
(1) digital thermometer Welch Allyn Sure Temp Plus $248.00 12/21/09 Nurse station good
(1) bunk bed
$565.00 Unknown North wing room 2
fair
(2) lockers
Lightning Lockers ST887-1 Total
$94.83 each $189.96
11/19/09 North wing room 2
good
EXHIBIT 1
Department of Juvenile Justice Property Information Worksheet (PIW)
7
Property #
Description
Manufacturer
Model
Serial #
Acquisition
Cost
Acquisition
Date
Location
Code
Condition
(2) desks/chairs Total
$450.00 each $900.00
Unknown North wing room 2
fair
(1) bunk bed $565.00 Unknown North wing room 4
fair
(2) lockers Lightning Lockers ST887-1 Total
$94.83 each $189.96
11/19/09 North wing room 4
good
(2) mattress Total
$40.00 each $80.00
Unknown North wingn room 4
fair
(2) desk/chairs
Total
$450.00 each $900.00
Unknown North wing room 4
fair
(8) lockers from Desoto 10/10/11 North wing room 5
fair
(1) table – rolling from Desoto 10/10/11 North wing room 5
fair
(1) bunk bed $565.00 Unknown North wing Room 6
fair
(2) lockers Lightning Lockers ST887-1 Total
$94.83 each $189.86
11/18/09 North wing Room 6
good
(2) mattress Total
$40.00 each $80.00
Unknown North wing Room 6
fair
(2) desk/chairs
Total
$450 each $1,900.00
Unknown North wing Room 6
fair
(1) washing machine Maytag MEDC400VW0 M01814048 $457.95 4/29/10 Laundry room fair
(1) couch, 2 seater from Desoto 10/10/11 North wing fair
(1) bunk bed $565.00 Unknown North wing room 8
fair
(2) lockers Lightning Lockers ST887-1 Total
$94.83 each $189.86
11/18/09 North wing room 8
good
(2) mattresses Total
$40.00 each $80.00
Unknown North wing room 8
fair
(1) clothes dryer Whirpool RED 43405Q1 MU26 58412 Unknown Laundry room fair
10-001335 (1) Wash Fountain Acorn N/A $1,556.00 11/5/98 Bath room fair
10-001336 (1) Wash Fountain Acorn N/A $1,556.00 11/5/98 Bath room fair
10-001338 (1) Wash Fountain Acorn N/A $1,556.00 11/5/98 Bath room fair
(2) lockers Lightning Lockers ST887-1 Total
$94.83 each $189.86
11/18/09 South wing room 15
good
EXHIBIT 1
Department of Juvenile Justice Property Information Worksheet (PIW)
8
Property #
Description
Manufacturer
Model
Serial #
Acquisition
Cost
Acquisition
Date
Location
Code
Condition
(2) mattress Total
$50.00 each $100.00
Unknown South wing room 15
Fair
(2) desk/chair
Total
$450.00 each $900.00
Unknown South wing room 15
Fair
(1) bunk bed $565.00 Unknown South wing room 15
Fair
(2) mattress Total
$50.00 each $100.00
Unknown South wing room 16
Fair
(2) desk/chair Total
$450.00 each $900.00
Unknown South wing Room 16
Fair
(1) bunk bed $565.00 Unknown South wing Room 16
Fair
(2) lockers Lightning Lockers ST887-1 Total
$94.83 each $189.86
Unknown South wing Room 16
good
(2) desk/chair Total
$450.00 each $900.00
Unknown South wing Room 13
fair
(2) lockers Lightning Lockers ST887-1 Total
$94.83 each $189.86
11/19/09 South wing Room 13
good
(2) mattress Total
$50.00 each $100.00
Unknown South wing Room 13
Fair
(1) bunk bed $565.00 Unknown South wing Room 13
Fair
(1) bunk bed $565.00 Unknown South wing Room 14
Fair
(2) lockers Lightning Lockers ST887-1 $94.83 each $189.86
11/19/09 South wing Room 14
good
(2) mattress
Total
$50.00 each $100.00
Unknown South wing Room 14
fair
(2) desk/chair Total
$450.00 each $900.00
Unknown South wing Room 14
fair
(1) bunk bed $565.00 Unknown South wing Room 11
fair
(2) lockers Lightning Lockers ST887-1 Total
$94.83 each $189.86
Unknown South wing Room 11
good
(2) mattress Total
$50.00 each $100.00
Unknown South wing Room 11
fair
(2) desk/chair Total
$450.00 each $900.00
Unknown South wing Room 11
fair
(1) bunk bed $565.00 Unknown South wing Room 12
fair
(2) lockers Lightning Lockers ST887-1 Total
$94.83 each $189.86
11/18/09 South wing Room 12
good
EXHIBIT 1
Department of Juvenile Justice Property Information Worksheet (PIW)
9
Property #
Description
Manufacturer
Model
Serial #
Acquisition
Cost
Acquisition
Date
Location
Code
Condition
(2) mattress Total
$50.00 each $100.00
Unknown South wing Room 12
fair
(2) desk/chair Total
$450.00 each $900.00
Unknown South wing Room 12
fair
(1) bunk bed $565.00 Unknown South wing Room 10
fair
(2) lockers Lightning Lockers ST887-1 $94.83 each $189.86
11/18/09 South wing Room 10
good
(2) mattress Total
$50.00 each $100.00
Unknown South wing Room 10
fair
(2) desk/chair
$450.00 each $900.00
South wing Room 10
fair
(1) bunk bed $565.00 Unknown South wing Room 9
fair
(2) lockers
Lightning Lockers ST887-1 $94.83 each $189.86
11/18/09 South wing Room 9
good
(2) mattress Total
$50.00 each $100.00
Unknown South wing Room 9
fair
(2) desk/chair $450.00 each $900.00
Unknown South wing Room 9
fair
(2) mattress Total
$50.00 each $100.00
Unknown South wing Storage room
fair
(4) file cabinet $100.00 each $400.00
Unknown Rec room fair
(2) desk
Total
$600.00 each $1,200.00
Unknown Rec room fair
(1) chair $100.00 Unknown Rec room fair
(1) bookshelf $250.00 Unknown Rec room fair
(1) whiteboard $150.00 Unknown Storage fair
(2) cork boards
Total
$50.00 each $100.00
Unknown fair
(1) television Coby
$349.97 7/21/11 Game room good
(1) X-Box 1439 070968511208 $399.96 7/21/11 Game room good
(2) wet floor cones
from Desoto 10/10/11 Closet fair
(4) desks Total
$600.00 each $2,400.00
Unknown Therapist/CM fair
EXHIBIT 1
Department of Juvenile Justice Property Information Worksheet (PIW)
10
Property #
Description
Manufacturer
Model
Serial #
Acquisition
Cost
Acquisition
Date
Location
Code
Condition
(4) desk chairs Total
$500.00 each $2,000.00
Unknown Therapist/CM fair
(1) round table
$300.00 Unknown Therapist/CM fair
(4) file cabinets Total
$100.00 each $400.00
Unknown Therapist/CM fair
(2) storage cabinets 1 metal & 1 wooden
Total
$500.00 each $1,000.00
Unknown Therapist/CM fair
(4) telephones Inter-tel
$100.00 each $400.00
Unknown Therapist/CM fair
(1) shredder Shred Master SC170 $113.79 12/18/09 Therapist/CM fair
(5) side chairs Total
$100.00 each $500.00
Unknown Therapist/CM fair
(2) bulletin boards
Total
$50.00 each $100.00
Unknown Therapist/CM fair
(1) monitor Samsung Sync Master 933 CM19H9FS70- 1766E
$119.99 10/15/09 Therapist/CM good
(1) computer Dell with monitor Dimension 4700 9V05S51 Therapist/CM fair
(1) computer Gateway w/ monitor KTH300S 0026395121 $800.00 Unknown Maintenance office
fair
(1) computer Compaq Presario 6000 3D28KY9ADOZE $800.00
Unknown Therapist/CM fair
(1) modem D-Link DGS-2205 P1BH597002222 Therapist/CM
(1) computer Compaq 500B MT MXL 9520L42 $459.00 12/17/09 Therapist/CM good
(1) monitor HP LE185lw CNC936P2J5 $120.00 12/17/09 Therapist/CM good
(1) printer HP Office Jet 8000 MY9AJ240V4 $169.19 12/17/09 Therapist/CM good
(1) computer Compaq 500 BMT MXL9520L44 $459.00
12/17/09 Therapist/CM good
(1)monitor HP LE185lw CNC935SDYY $120.00 12/17/09 Therapist/CM good
(1) printer HP Office jet 8000 wireless
MY9AJ240SK
$169.19 12/17/09 Therapist/CM good
ARISE training material Arise Foundation $381.00 11/20/09 Therapist/CM fair
(1) round table from Desoto 10/10/11 Therapist/CM fair
EXHIBIT 1
Department of Juvenile Justice Property Information Worksheet (PIW)
11
Property #
Description
Manufacturer
Model
Serial #
Acquisition
Cost
Acquisition
Date
Location
Code
Condition
(1) shredder #CCS60062 FCD02601785 $110.51 9/17/12 Therapist/CM good
(3) PAR mats Total
$188.88 each $566.64
11/16/09 Storage shed fair
(1) drain snake Ridgid K-400 VBM336770209 $479.98
6/22/10 Storage shed good
(6) wooden folding table from Desoto 10/10/11 Storage shed fair
(1) PAR mat $150.00 Unknown Storage shed fair
80-000001 (1) floor burnisher MVTV, Inc. 1200X $1,495.00 12/03/02 Maintenance office
overheats
80-002576 (1) dish washer (does not work w/electrical connection in kitchen)
Hobart R203080 $6,893.57 9/28/98 Maintenance office
Unknown from Monticello
(1) vacuum cleaner Hoover Windtunnel 030800009250 $147.00
10/20/09 Storage/ phone
fair
(1) metal cabinet $500.00 Unknown Storage/ phone
fair
(1) safe Sentry 8321 AK973650 $300.00 Unknown Storage/ phone
fair
10-000204 (1) safe Melink
$500.00 Unknown Storage/ phone
Unable to open
15-000727 (1) shed Ted’s $6,320.63 1/1/98 fair
09-000160 (1) shed Tuffy
$4,420.88 6/7/93 fair
10-233082 (1) shed (metal) $4,885.12
1/1/90 fair
BB-000359 (1) shed Shed’s of America $7,130.09 1/1/89 fair
15-003050 (1) lawn mower Toro 210000150 $2,172.00 3/4/02 rough
22-000819 (1) Van 2000 15P G3500 DJJ 033028
Chevrolet 1GAHG39R9Y1243144
$23,512.00 4/28/2000 rough
22-000932 (1) Van 2001 15P G3500 DJJ 33983
Chevrolet 1GAHG39R611235279
$21,503.00 7/20/01 rough
(32) blue stackable chairs
Modu Form from Desoto 10/10/11 Maintenance patio
fair
(2) chairs from Desoto 10/10/11 Maintenance patio
fair
(1) side table from Desoto 10/10/11 Maintenance office
Fair
EXHIBIT 1
Department of Juvenile Justice Property Information Worksheet (PIW)
12
Property #
Description
Manufacturer
Model
Serial #
Acquisition
Cost
Acquisition
Date
Location
Code
Condition
(1) fan from Desoto 10/10/11 Maintenance office
Fair
(1) laundry cart from Desoto 10/10/11 Maintenance office
Fair
(1) couch from Desoto 10/10/11 Maintenance office
Fair
(1) salad bar
from Desoto 10/10/11 Storage room Fair
(1) cambro juice from Desoto
10/10/11 Storage room Fair
(1) step ladder from Desoto 10/10/11 Storage room Fair
(2) chairs from Desoto 10/10/11 Maintenance office
Fair
(3) blue bench (outdoor)
from Desoto 10/10/11 Rec. yard Fair
(8) blue chairs (outdoor)
from Desoto 10/10/11 Rec. yard Fair
(1) small table
from Desoto 10/10/11 Maintenance office
Fair
(6) black benches Total
$300.00 each $1,800.00
Unknown Rec. yard Fair
Authorized Signature: ___________________________________ Provider’s Signature:______________________________Date:_________
Name and address to send tags to: Name____________________________ Address:__________________________________________ Please print Complete with zip code
I have applied tags and all information on this worksheet is correct: Signature______________________________________
Return signed copy to Property Management Office