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Discovery Phase with Orange County — AMCAD Interface <br />JL <br />BKM . Ric <br />CHANGE REQUEST FORM <br />1. To be filled by customer <br />Customer:. <br />Requesfled-'by <br />Email Address: <br />Phone Number <br />Request Date: <br />PO Number: <br />Request Number: <br />Priority: ❑ Critical <br />Reason for change <br />❑ Urgent <br />Problem Fix <br />11 Routine <br />❑ Problem Prevention ❑ Improvement <br />❑ <br />Change Description ❑ Screen appearance ❑ Application behavior ❑ Calculations <br />2. To be filled by Patriot Properties, Inc. <br />Document ID: <br />DevlD: <br />Version: <br />Due Date: <br />Estimates <br />October 7, 2008 <br />Version 1.0 <br />