INSTRUMENT _________________________ MAKE _______________ SCHOOL # ____

MODEL ___________________ FINISH _____________ SERIAL # _________________

VALUE $ _____________ LOCKER NUMBER _________________

COMPLETE UNIT INCLUDES:

______ Case ______ Ligature

______ Key ______ Cap

______ Bow ______ Oil

______ Mouthpiece ______ Other _______________________________________

MAJOR REPAIRS

Description Date

1. ___________________________________________________________ _____

2. ___________________________________________________________ _____

3. ___________________________________________________________ _____

4. ___________________________________________________________ _____

5. ___________________________________________________________ _____

RENTALS/LOANS (month/year) (month/year)

Name _______________ Out ____ In____ Name _______________ Out_____ In _____

Name _______________ Out ____ In____ Name _______________ Out_____ In _____

Name _______________ Out ____ In____ Name _______________ Out_____ In _____

Name _______________ Out ____ In____ Name _______________ Out_____ In _____

Name _______________ Out ____ In____ Name _______________ Out_____ In _____

Name _______________ Out ____ In____ Name _______________ Out_____ In _____

Name _______________ Out ____ In____ Name _______________ Out_____ In _____

Name _______________ Out ____ In____ Name _______________ Out_____ In _____

Name _______________ Out ____ In____ Name _______________ Out_____ In _____

instrinv