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Customer/Point of Contact:
Island Medical Staff and Billing
Carolyn Mafnas (
671-646-3855 ext 105
)
Scheduled Date/Time:
07/27/2018, 04:30 pm
Service Type:
Onsite
Charge Type:
Service Contract
Charge Code:
IMSB.6008: IMSB - Service Contract 2018
Rates:
Service Contract [
TOTAL
ANNUAL
HOURS:
2]
Remaining Hours:
2
Est. Service Time (hrs):
1
Reference/PO #:
Taken By:
Jordan Gimmen
Customer Signature:
Yes
Print Name:
Melissa Waibel
Date Signed:
07/27/2018
Invoice Number:
027150
Work Requested
Temporarily replace switch with DSI Loaner Switch
Work Requested by:
Enter Work Completed Tasks
Work Completed :
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