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Hi,

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Customer/Point of Contact:

St. Lucy's Eye Clinic
Marjorie DeBenedictis (+1 (671) 687-7263)

Scheduled Date/Time:

08/16/2021, 10:00 am

Service Type:

Onsite

Charge Type:

Normal

Charge Code:

DSIG.4059: DSI Standard Service 2021

Rates:

Standard Service 2021 [TOTAL ANNUAL HOURS: 2]

Remaining Hours:

Est. Service Time (hrs):

Reference/PO #:

Taken By:

Kevin Hsueh

Customer Signature:

Print Name:

Date Signed:

Troubleshoot various issues.

Work Requested by: Marjorie DeBenedictis

	Item	Serial Number	Notes

		Work Completed	Technician	Check-in	Check-out	Actual Hrs

	Item	Serial Number	Condition	Qty	Price	Amount
TOTAL ($)						0.00

Filename
W38692

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