Technology Transfer Manifest

Transfer Date
Origin
Delivered By
Received By

Items Included in Transfer

MOBILE PHONE
Phone Make
Phone S/N
Phone Number
Value
Case
Charger
Vehicle Charger
LAPTOP
Laptop
Case
Mouse
Charger
MOBILE HOTSPOT
HotSpot Make
HotSpot S/N
HotSpot Number
Allowable Cellular Data
Notes