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Hi,

Customer/Point of Contact:

Trinity Pacific Loss Adjusters
Sandra Bang (671-646-2078)

Scheduled Date/Time:

12/02/2019, 02:00 pm

Service Type:

Onsite

Charge Type:

Normal

Charge Code:

DSIG.4050: Standard Service 2019

Rates:

Standard Service Rate 2019 [TOTAL ANNUAL HOURS: 2]

Remaining Hours:

Est. Service Time (hrs):

Reference/PO #:

Taken By:

Kevin Hsueh

Customer Signature:

Yes

Print Name:

Sandra Bang

Date Signed:

12/02/2019

Invoice Number:

028649

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Work Requested by:

Work Completed :

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