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<br />CUSTOMER SERVICE ORDER <br /> <br />CUSTOMER <br />NAME <br />ADDRESS <br /> <br />WC CNTR of Pasco Regional MC <br />6215 Abbott Station Drive <br />Zephyrhills, FL 33542 <br /> <br />DATE 21 May 07 <br />CUSTOMER # 00- DIVERS/P ASCO <br /> <br />CONTACT: Linda Lowman <br /> <br />PHONE 813-479-0225,352-457-1518 <br />FAX 352-521-1579 <br /> <br />P.O. # <br /> <br />CHAMBER: DUALPLACE ( ) <br /> <br />SIGMA I I ( <br /> <br />MULTI ( ) <br /> <br />PLUS ( ) <br /> <br />CHARGE NO. <br />SIN: 621-34,620-34 <br /> <br />34 (X X) 40 ( ) <br /> <br />NA TURE OF SERVICE TO BE PERFORMED: ROUTINE P/M () OTHER ( ) <br />Complete install of chambers, and fix corns issue requested by customer. <br /> <br />TECHNICIAN ASSIGNED: Will Green <br /> <br />SERVICE SCHEDULE DATES: May 22 - May 23,2007 <br /> <br />SPECIAL INSTRUCTIONS <br /> <br />CUSTOMER~{Jn/I(:Vn <br />SERVICE COMPLETED BY, ~J1> ~ <br /> <br />_ f CO~M~NTS <br />....L '" ~1U. C l<.d <br /> <br />DATE: <br /> <br />DATE <br /> <br />S --;;J-3-tJ7 <br />(Q -2. '3 -Dr <br /> <br /> <br />~C1.t~ <br /> <br />~ <br />A c( ~~ 6t:o-od.. I <br />c..-k w- b"l V>. 5 <br /> <br />avv J <br /> <br />~ <br /> <br />ISO Form 900015A Rev O.xls <br /> <br />Customer Service Order <br />