CCNA

PON

VER

ICSC

ASC-EC

D/T Transmitted

D/T Last Rec

LAST SAVED

CUS 

DS3-WHOLLY-30 

1 

GT10 

8/31/2005 11:17 am 

ASR STATUS

C/NR STATUS

DRAFT 

None 

ACTL

CLLI

TSC

ECCKT

PASSED 

NOT APPLICABLE 

NOT APPLICABLE 

NOT APPLICABLE 

REQTYP

ACT

ACTI

RTR

EXP

SUP

SD 

N 

S 

UNIT

QTY

QTY

NOR

QSA

TQ

AFO

C 

1 

 of  

01 

DDD

CBD

PPTD

PFPTD

FDT

10 - 17 - 05 

 -  -  

 -  -  

  :   

CKR

ECCKT

FNI

FNT

CFNI

ACTL

PBT

AI

APOT

LATA

LA

LANM

LADATED

ABCDINXFW01 

 -  -  

LTP

ASG

TSC

CC

UNE

BSA

PSL

PSLI

WST

WSTN

 -  -  

PIU

PLU

LUP

BAN

CUST

FBA

EF

DT

MUX

100 

E  -  

MY COMM COMPANY 

SPEC

PROJECT

CNO

QA

AENG

ALBR

AGAUTH

DATED

 -  -  

BIC

BIC TEL

BIC ID

TSP

SAN

AFG

 -  -  

 -  

RORD

RPON

CCVN

BILLNM

SBILLNM

ACNA

TE

EBP

MY COMM COMPANY 

BILLING GROUP 

CUS 

STREET

FLOOR

ROOM

CITY

STATE

ZIP CODE

123 EASY ST 

ANYTOWN 

TX 

99999 -  

BILLCON

BILLCON EMAIL

TEL NO

WILLIAM PAYER 

999 - 555 - 9999 -  

VTA

VCVTA

IWBAN

XXPF01MMDDYY 

 -  -   

INIT

TEL NO

INIT FAX NO

JOHN DOE 

999 - 555 - 8888 -  

999 - 555 - 2222 

INIT EMAIL

JOHN.DOE@MYCOMM.COM 

STREET

FLOOR

ROOM

CITY

STATE

ZIP CODE

123 EASY ST 

ANYTOWN 

TX 

99999 -  

DSGCON

TEL NO

DSG FAX NO

DRC

FDRC

JACK SMITH 

999 - 555 - 7777 -  

999 - 555 - 3333 

DSG EMAIL

JACK.SMITH@MYCOMM.COM 

STREET

FLOOR

ROOM

CITY

STATE

ZIP CODE

123 EASY ST 

ANYTOWN 

TX 

99999 -  

IMPCON

TEL NO

MTCE

TEL NO

DUTY TECH 

999 - 555 - 6666 -  

 -  -  

THIS IS AN EXAMPLE OF A DS3 THAT IS WHOLLY PROVIDED 

NEW ACTL AT 1234 HOLLY DR FT WAYNE IN SWC WAS TABLED 

ASR WITH PAYMENT ARRANGEMENTS. 

CCNA

PON

VER

ICSC

ASC-EC

D/T Transmitted

D/T Last Rec

LAST SAVED

CUS 

DS3-WHOLLY-30 

1 

GT10 

8/31/2005 11:17 am 

ASR STATUS

C/NR STATUS

DRAFT 

None 

CLLI

NC/NCI/SECNCI

CFA

SCFA

NOT APPLICABLE 

PASSED 

NOT APPLICABLE 

NOT APPLICABLE 

NC

NCI

SECNCI

PQPR

QPR

HF-- 

04DS6 . 44 .  

04DS6 . 44 .  .  .  

TLV

SECTLV

  .  T   .  R 

  .  T   .  R

NSL

CKLT

MST

NVC

CLK

PSPEED

LMP

N/U

ZLG

BSC

ETET

MUXLOC

SSS

ATN

SR

ISDN SEQ

TRF

HVP

NSIM

 of  

WACD1

WACD2

CTX TEL

CTX LSTD NM

 -  -  

CFAU

DES

TYPE

CHAN

A LOCATION

Z LOCATION

CFA:  

/

/

/

/

PRIADM

DIR

CPT

 -  

HBAN

  -  

CCEA

SECLOC

S25

ER

OTC

E  

A 

DES

TYPE

CHAN

A LOCATION

Z LOCATION

SCFA:  

/

/

/

/

SECADM

SDIR

GETO

GBTN

GCON

GTEL

 -  -  

 -  -  -  

SCCEA

CCNA

PON

VER

ICSC

ASC-EC

D/T Transmitted

D/T Last Rec

LAST SAVED

CUS 

DS3-WHOLLY-30 

1 

GT10 

8/31/2005 11:17 am 

ASR STATUS

C/NR STATUS

DRAFT 

None 

CLLI

ADDRESS STATUS

NOT APPLICABLE 

PASSED 

REF NUM

PI

AFT

0001 

EUNAME

NCON

ABC WIRELESS CELLSITE 

SAPR

SANO

SASF

1234 

SASD

RR

ROUTE#

STREET NAME

SATH

SASS

WATER TOWER 

RD 

LD1

LV1

LD2

LV2

LD3

LV3

BLDG 

TELCO 

CITY

STATE

ZIP

ANYTOWN 

IN 

12345 -  

ADDITIONAL ADDRESS INFORMATION

CONDUIT TELCO RM BHND WTR PRV LSO 

JS

JK CODE

SMJK

JK NUM

JK POS

PCA

REN

D 

SI

SPOT

ICOL

LCON

ACTEL

AACTEL

ACPGN

ACPPN

JOE 

999 - 999 - 9999 -  

 -  -  -  

 -  -  

ALCON

ALCON TEL

 -  -  -  

ACCESS INFORMATION

WKTEL

 -  -