TRANSFER OF OWNERSHIP OF ULTRA-COLD FREEZER TO GCU FYE22.DOCX

Maricopa County Department of Public Health
Personal Custody Property Record/Hand Receipt
Maricopa County Department of Public Health
Transfer of Property Ownership Agreement
Property Transferred To:
Receiving 
Organization
Location
Telephone
Castle
Marcus
Grand Canyon 
University
3300 W 
Camelback Rd, 
Phoenix, AZ 
85017
(602) 639-7500
Last
First
MI
Statement of Responsibility:
On behalf of Grand Canyon University, I have received the item(s) listed below on the date indicated. This transfer of ownership 
shall be deemed permanent.  Maricopa County Department of Public Health (MCDPH) bears no responsibility for any costs, 
repairs, maintenance or damages related to this item as of the date of transfer.   This item was purchased originally with 
CARES Act funds on behalf of the County’s Unified Command Center, and subsequently transferred to MCDPH in June of 
2021.
Item Description
(Include Capacity, Make, Model, Serial Number(s), etc.)
Quantity
VIP Upright Ultra-Low Temp Freezer, County Capital Asset number F2100493
   Manufacturer:  PHC Corporation
   Model No.: MDF-U76VA-PA
   Serial No.: 19107N0335
1
Person Receiving Property
      Signature
   
       Date                                        
Date
Authorized by:
Mitchell Lach, MCDPH 
Printed Name
Signature

Maricopa County Department of Public Health
Personal Custody Property Record/Hand Receipt
FOR AND ON BEHALF OF
MARICOPA COUNTY
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
 Attorney for Maricopa County
Date