CCNA

PON

ICSC

ASC-EC

LAST SAVED

BAT 

IEF MIDSPANMEET 

CP39 

12/30/08 10:02 am 

VER

STATUS

D/T SENT

1 

DRAFT 

STATE

D/T UPDATED

REQTYP

ACT

ACTI

RTR

EXP

SUP

SD 

N 

F 

UNIT

QTY

QTY

NOR

QSA

TQ

AFO

QNAI

EVCI

C 

1 

 of  

01 

DDD

CBD

PPTD

PFPTD

FDT

12 - 31 - 08 

 -  -  

 -  -  

  :   

CKR

/ABCD/111111/ /ABC 

ECCKT

FNI

FNT

RFNI

CFNI

ABCD1A 

A 

ACTL

PBT

AI

APOT

LATA

LA

LANM

LADATED

ABCDVAABW01 

C 

ABCDVAABW01 

123 

 -  -  

LTP

ASG

TSC

CC

UNE

BSA

PSL

PSLI

WST

ISTN

N 

 -  -  

PIU

PLU

LUP

BAN

CUST

FBA

EF

DT

MUX

100 

757 A01 - 1111 

YOUR COMPANY 

SPEC

PROJECT

CNO

QA

AENG

ALBR

AGAUTH

DATED

SALTFX 

 -  -  

BIC

BIC TEL

BIC ID

TSP

SAN

AFG

 -  -  

 -  

RORD

RPON

CCVN

BILLNM

SBILLNM

ACNA

TE

EBP

COMPANY BILLING NAME 

DEPARTMENT FOR BILLING 

CUS 

A 

STREET

FLOOR

ROOM

CITY

STATE

ZIP CODE

WHERE BILL IS TO BE SENT 

ANY TOWN 

VA 

12345 -  

BILLCON

BILLCON EMAIL

TEL NO

ACCTS PAYABLE 

999 - 999 - 9999 -  

VTA

VCVTA

IWBAN

5TTP 

 -  -   

PNUM

PSD

FB12345 

 -  -   

INIT

TEL NO

INIT FAX NO

JOHN DOE 

999 - 999 - 9999 -  

 -  -  

INIT EMAIL

JOHN.DOE@YOURCOMPANY.COM 

STREET

FLOOR

ROOM

CITY

STATE

ZIP CODE

 -  

DSGCON

TEL NO

DSG FAX NO

DRC

FDRC

JANE DOE 

999 - 999 - 9999 -  

999 - 999 - 9999 

DSG EMAIL

JANE.DOE@YOURCOMPANY.COM 

STREET

FLOOR

ROOM

CITY

STATE

ZIP CODE

111 MAIN 

ANY TOWN 

VA 

12345 -  

IMPCON

TEL NO

MTCE

TEL NO

TECH ON DUTY 

999 - 999 - 9999 -  

 -  -  

ROLL OC3C ONTO  OC48 MID SPAN MEET. WHEN THIS PRODUCT IS ORDERED 

UNDER FORBEARANCE THE PNUM FIELD MUST BE POPULATED WITH THE 

CONTRACT ID.

CCNA

PON

ICSC

ASC-EC

LAST SAVED

BAT 

IEF MIDSPANMEET 

CP39 

12/30/08 10:02 am 

VER

STATUS

D/T SENT

1 

DRAFT 

STATE

D/T UPDATED

NC

NCI

SECNCI

PQPR

QPR

OB-R 

04SOF . D .  

02SOF . B .  .  .  

TLV

SECTLV

  .  T   .  R 

  .  T   .  R

NSL

CKLT

MST

NVC

CLK

PSPEED

LMP

N/U

ZLG

BSC

ETET

MUXLOC

SSS

ATN

ABCDVAXXW02 

SR

ISDN SEQ

TRF

HVP

NSIM

 of  

WACD1

WACD2

CTX TEL

CTX LSTD NM

 -  -  

CFAU

DES

TYPE

CHAN

A LOCATION

Z LOCATION

CFA:  

ABC1A 

/

OC48 

/

25 

/

ABCDVAXXW02 

/

ABCDVAABW01 

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

ICSC

ASC-EC

LAST SAVED

BAT 

IEF MIDSPANMEET 

CP39 

12/30/08 10:02 am 

VER

STATUS

D/T SENT

1 

DRAFT 

STATE

D/T UPDATED

REF NUM

PI

AFT

0001 

EUNAME

NCON

ENDUSER 

SAPR

SANO

SASF

12345 

-----------------------------------------------------------------SASN-----------------------------------------------------------------

SASD

RR

ROUTE#

STREET NAME

SATH

SASS

SOMEWHERE 

ST 

LD1

LV1

LD2

LV2

LD3

LV3

CITY

STATE

ZIP

ANY TOWN 

VA 

12345 -  

ADDITIONAL ADDRESS INFORMATION

JS

JK CODE

SMJK

JK NUM

JK POS

PCA

REN

D 

SI

SPOT

ICOL

LCON

ACTEL

AACTEL

ACPGN

ACPPN

TECH ON DUTY 

999 - 999 - 9999 -  

 -  -  -  

 -  -  

ALCON

ALCON TEL

 -  -  -  

ACCESS INFORMATION

WKTEL

 -  -