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Key Inventory Signature Card

Key Inventory / Signature Card

 

Name: _____________________  ___________________  Position:_________________________  
L
ast                                                 First

Last 5 (SSN): ___ --__________   Ext:_______________   Home Phone: _______--_____________

Home Address: ____________________________________________________________________

City: ______________________ State: _________ ZIP: _________

Acknowledgement of responsibility for proper use of keys:  I acknowledge receipt of the keys listed on the reverse side of this card and assume full responsibility for their proper use until returned to the CNM Security Department or Key Control personnel.  In particular, I agree not to make or allow others to make duplicates of keys to any facility owned or controlled by CNM without the prior written approval of the College.  I will not loan, barter, sell or give the keys entrusted to me to personnel not employed by CNM.  I am aware that to do so may be a violation of the New Mexico Criminal Statutes, Section 30-14-2, NMSA 1978.

Signed: ___________________________________ Date: ________________

Witness: __________________________________ Date: ________________

 

 

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Key Inventory Card (Back)

#

Campus

Key Code

Building

Room #

Date Out

Date In

Initial

1

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

7

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

10