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Hi,

Customer/Point of Contact:

Department of Land Management
Henry Dela Cruz (671-649-5263)

Scheduled Date/Time:

08/14/2019, 10:30 am

Service Type:

Onsite

Charge Type:

Normal

Charge Code:

DOLM.3004: Dept of Land Management - P196A00900 exp 09/30/19

Rates:

Standard Service [TOTAL ANNUAL HOURS: 2]

Remaining Hours:

Est. Service Time (hrs):

Reference/PO #:

Taken By:

Kevin Hsueh

Customer Signature:

Yes

Print Name:

Henry Dela Cruz

Date Signed:

08/14/2019

Invoice Number:

028372

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Work Requested by:

Work Completed :

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