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Hi,

Customer/Point of Contact:

Pacific Retina Specialists
Marie Paulin (+1 (671) 649-3937)

Scheduled Date/Time:

06/18/2018, 04:30 pm

Service Type:

Onsite

Charge Type:

Project

Charge Code:

PACR.4001: Pacific Retina - Network Project

Rates:

Network Project [TOTAL HOURS: 30]

Remaining Hours:

-37

Est. Service Time (hrs):

Reference/PO #:

Taken By:

Jordan Gimmen

Customer Signature:

Print Name:

Date Signed:

Invoice Number:

027134

Mount rack

Work Requested by:

Work Completed :

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