CCNA

PON

ICSC

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LAST SAVED

XYZ

11111-UNET1EU 

NY01 

6/27/2008 9:44 am 

VER

STATUS

D/T SENT

1 

DRAFT 

STATE

D/T UPDATED

REQTYP

ACT

ACTI

RTR

EXP

SUP

SD 

N 

S 

UNIT

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1 

 of  

01 

DDD

CBD

PPTD

PFPTD

FDT

12 - 28 - 08 

 -  -  

 -  -  

  :   

CKR

ECCKT

FNI

FNT

RFNI

CFNI

ACTL

PBT

AI

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LATA

LA

LANM

LADATED

ABCDNYABHDE 

 -  -  

LTP

ASG

TSC

CC

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BSA

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Y 

PSL

PSLI

WST

ISTN

WSI

 -  -  

PIU

PLU

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BAN

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EF

DT

MUX

000 

212 XXX- 1111 

CUSTOMER NAME 

SPEC

PROJECT

CNO

QA

AENG

ALBR

AGAUTH

DATED

UNBALL

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BIC

BIC TEL

BIC ID

TSP

SAN

AFG

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RORD

RPON

CCVN

BILLNM

SBILLNM

ACNA

TE

EBP

COMPANY BILLING INC 

XYZ 

STREET

FLOOR

ROOM

CITY

STATE

ZIP CODE

BILLING TO BE SENT TO 

ANYWHERE 

TX 

12345 -  

BILLCON

BILLCON EMAIL

TEL NO

ACCTS PAYABLE 

EMAIL ADDRESS 

111 - 111 - 1111 -  

VTA

VCVTA

IWBAN

 -  -   

PNUM

PSD

 -  -  

INIT

TEL NO

INIT FAX NO

JOHN/JANE DOE 

111 - 111 - 1111 -  

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INIT EMAIL

STREET

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CITY

STATE

ZIP CODE

11111 MIAMI BLVD 

ANYWHERE 

TX 

99999 -  

DSGCON

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DRC

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JOHN/JANE DOE 

111 - 111 - 1111 -  

999 - 999 - 9999 

DSG EMAIL

EMAIL ADDRESS 

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CITY

STATE

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11111 MIAMI BLVD 

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TX 

12345 -  

IMPCON

TEL NO

MTCE

TEL NO

TECH ON DUTY 

111 - 111 - 1111 -  

 -  -  

PLEASE INSTALL DS1 FROM ACTL TO SECLOC. 

CCNA

PON

ICSC

ASC-EC

LAST SAVED

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11111-UNET1EU 

NY01 

6/27/2008 9:44 am 

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STATUS

D/T SENT

1 

DRAFT 

STATE

D/T UPDATED

NC

NCI

SECNCI

PQPR

QPR

HCE- 

04QB9.11 .  

04DU9 . 1SN .  .  .  

TLV

SECTLV

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DES

TYPE

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A LOCATION

Z LOCATION

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/

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/

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HBAN

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TYPE

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SDIR

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SFNI

GETO

GBTN

GCON

GTEL

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SCCEA

CCNA

PON

ICSC

ASC-EC

LAST SAVED

XYZ  

11111-UNET1EU 

GT10 

6/27/2008 9:44 am 

VER

STATUS

D/T SENT

1 

DRAFT 

STATE

D/T UPDATED

REF NUM

PI

AFT

0001 

EUNAME

NCON

ENDUSER 

SAPR

SANO

SASF

1433 

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

SASD

RR

ROUTE#

STREET NAME

SATH

SASS

SOMEWHERE 

ST 

LD1

LV1

LD2

LV2

LD3

LV3

CITY

STATE

ZIP

ANYWHERE 

NY 

12345 -  

ADDITIONAL ADDRESS INFORMATION

JS

JK CODE

SMJK

JK NUM

JK POS

PCA

REN

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SI

SPOT

ICOL

LCON

ACTEL

AACTEL

ACPGN

ACPPN

BRANDON DOE 

111 - 111 - 1111 -  

 -  -  -  

 -  -  

ALCON

ALCON TEL

 -  -  -  

ACCESS INFORMATION

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