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Hi,

Customer/Point of Contact:

AXS Insurance
Frank Arriola (671-647-4297)

Scheduled Date/Time:

05/07/2018, 10:00 am

Service Type:

Onsite

Charge Type:

Normal

Charge Code:

DSIG.4050: Standard Service 2019

Rates:

Standard Service Rate [TOTAL ANNUAL HOURS: 2]

Remaining Hours:

Est. Service Time (hrs):

Reference/PO #:

Taken By:

Kevin Hsueh

Customer Signature:

Yes

Print Name:

Orlene Arriola

Date Signed:

05/07/2018

Invoice Number:

027139

Project: Deliver and setup workstation.

Work Requested by:

Work Completed :

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