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Hi,

Customer/Point of Contact:

Future Smiles Orthodontics
Dr. Paul Sauget DDS, MSD (671-648-9888)

Scheduled Date/Time:

05/29/2018, 04:30 pm

Service Type:

Onsite

Charge Type:

Project

Charge Code:

FSOG.3001: Future Smiles - 3CX Project

Rates:

3CX Project [TOTAL HOURS: 8]

Remaining Hours:

-3

Est. Service Time (hrs):

Reference/PO #:

Taken By:

Jordan Gimmen

Customer Signature:

Print Name:

Date Signed:

Invoice Number:

027013

Troubleshoot Patton SN4171

Work Requested by:

Work Completed :

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