Orange County NC Website
035 SERVICE REQUEST <br /> ?(//d <br /> DATE <br /> To: Purchasing Department From: 6)711.iJ <br /> NEW OR ADDITIONAL TELEPHONE SERVICE IS REQUESTED AS FOLLOWS: <br /> OFFICIAL FOR WHOM SERVICE IS REQUESTED /2441'YL C1"_J <br /> DATE SERVICE REQUIRED �C 41 1// /87 Lfil <br /> LOCATION /467 Ti /716-16--001- <br /> DESCRIBE REQUESTED SERVICE <br /> U ) fJ 1-4 /-. 14-) fQJJ -�- • <br /> I have been advised by the proper company that the installation cost for this additional <br /> service will be approximately $ e6""" and the increase in monthly charges is approximately <br /> $ D plus Long Distance charges. To what telephone number will additional monthly <br /> expense be billed? Telephone Number 500 <br /> JUSTIFICATION £ C(CLt U)I 0-- <br /> ********************************************************************************** <br /> *TO BE COMPLETED BY PURCHASING <br /> *I have reviewed the above described request and you are hereby advised that: <br /> * <br /> * Your request is approved as stated. <br /> * Your request is approved with the following exceptions. <br /> * Your request cannot be approved. <br /> * * <br /> * Other, or Exceptions <br /> lia/Atitt- 74tizr. <br /> * * <br /> Director of Purchasing Date <br /> ********************************************************************************** <br /> INSTRUCTIONS: Prepare in triplicate. Submit two copies to Purchasing. Retain one copy for your file. <br /> MUST BE PREPARED ON EACH CHANGE OR MODIFICATION OF TELEPHONE SLICE. <br />