Weapon Transfer Receiving Report




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State of Colorado 1033 DoD Excess Property Program

Weapon Transfer Receiving Report




Colorado 1033 Office

Jovita Freeland - 1033 Coordinator

Colorado State Patrol

700 Kipling Street

Denver, CO 80215

303-239-5776



303-239-5775 Fax



Date



Transferring Law Enforcement Agency (LEA) PLEASE PRINT
Agency Name



Address



City/State/Zip



Phone
Email




Signature


TYPE OF WEAPON

SERIAL NUMBER


























Please list all weapons INDIVIDUALLY on the table above.
All equipment is excess to the need of the Dept. of Defense and is hereby transferred to your agency in support of the duties of the law enforcement office under Section 1033 of the National Defense Authorization Act subject to the following provisions: It is provided as is with no guarantee or warranties (expressed or implied); Any repair, maintenance, insurance, or other expenses associated with these items is the sole responsibility of your agency. The items listed above with REQUIRE that your agency contact the office of the State Point of Contact PRIOR to transferring or disposal when no longer required or serviceable.
Receiving Law Enforcement Agency (LEA) PLEASE PRINT

Agency Name



Address



City/State/Zip
Phone
Email




Signature


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