Issuance of Equipment
Description of Equipment: Cost:
"In consideration of the issurance of the above-described motor vehicle to me, I agree to forward the Registration Card (Pink Slip) to the above district office of the Department of Rehabilitation immediately upon receipt thereof by me. I further agree that should my rehabilitation program be terminated prior to completion, I will, upon the request of the Department of Rehabilitation, return the above vehicle to the Department and endorse the Registration Card for transfer of title of the vehicle to the Department."
□ Posted by bookkeeper
Acknowledgment by Client: I agree to keep the above property in good condition or to be responsible up to its stated value for its loss, destruction, or damage. I acknowledge its receipt by me as a loan only and admit that its title and the right to its possession is and remains in the State Department of Education, Vocational Rehabilitation Service, and, waiving all notice of demand, I agree to return it promptly at my expense to the Vocational Rehabilitation Service upon the request of any of its representatives.