310 West 2nd Street
P.O. Box 5418
Thibodaux, LA 70302
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Computer Equipment and Software

Use this form to list the computer equipment, hardware and software your department will need to perform its functions.

Type: Computer Hardware   Computer software  
Status   Currently in use     will lease/buy for recovery location
Primary Supplier/Vendor:
Alternate Supplier/vendor:
Title & Version or Model No.:
Serial Number:
Purchase/Lease Date:
Purchase/Lease Price:
Recovery Install Locations:
Quantity (equipment) or No. of Licenses (software):
License Number
Recovery Notes: