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Hi,

Customer/Point of Contact:

Future Smiles Orthodontics
Audrey Crisosotomo (671-648-9888)

Scheduled Date/Time:

01/10/2019, 03:00 pm

Service Type:

Remote

Charge Type:

Normal

Charge Code:

DSIG.0097: Warranty Support 2018

Rates:

Warranty Support [TOTAL ANNUAL HOURS: 2]

Remaining Hours:

Est. Service Time (hrs):

Reference/PO #:

Taken By:

Kevin Hsueh

Customer Signature:

Print Name:

Date Signed:

Configure Extension 101 forwarding to mobile number.

Work Requested by:

Work Completed :

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