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l <br />? <br />A?m?zftedt <br />Confirmation of Service Order <br />Exchange Dedicated Communications Services - <br />Base Rate, Fractional DSi, DSl and DS3 Services <br />Service Type: KI <br />? Base Rate Point-to-Point <br />Base Rate Multipoint ? Fractional DS1-128 ? DS1 <br />? Fractional DS1-256 ? DS3 <br />? Fractional DS1-384 <br />Order Type: El New ? Renewal ? Conversion ? Upgrade ? Upgrade ? Winback <br />(Faster speed; ex: (Same Service/Longer <br />DSO to DS1) Term; ex: 3yr to 5 yr) <br />Existing Contract #: Existing Circuit ID: <br />Term Plan (months): ? 12 ? 36 MI 60 Requested Installation Date: <br />Monthly Charges: 193.44 Non Recurring Charges: 0.00 <br />Circuit Quantity: 1 # Multipoint Locations: <br />Service Location #1: Service Locatian #2: <br />Your signature acknowledges that you understand and accept the terms and conditions on Pages 1 and 2 <br />and that you are authorized to make the commitments under this Order <br />CUSTOMER <br />/Yi?IN?+?'rL e/7? <br />A thorized Customer Signature <br />'?e rrv?av? T. Au r val. ?aa o?r <br />Print Name and Title <br />P-Ot ?•OOa.- <br />Date <br />C/TY OF NORTH OLMSTED - 216 R93 2020 <br />Company Name <br />Billing Address <br />City, State and Zip Code <br />Customer Contact <br />Customer Contact Phone Number <br />AMERITECH <br />Authorized Ameritech Signature <br />Print Name and <br />Date <br />AMERITECH CONTACT INFORMATION <br />HARLEY ROSS H685120 <br />Ameritech Sales Representative Name Sales Code <br />DCT INC. <br />Company <br />27877CLEMENS RD. <br />Street Address <br />WESTLAKE OH 44145 <br />City State and Zip Code <br />440 892 0300 <br />Phone Number <br />440 892 2850 <br />Existing Biliing Account Number (if applicable) Fax Number <br />As used herein, Ameritech means Illinois Bell Telephone Company in Illinois; Indiana Bell Telephone Company Incorporated in Indiana; Michigan Be[[ Te[ephone <br />Company in Michigan; 77te Ohio Bell Telephone Company in Ohio; and Wisconsin Bel[Inc. in Wisconsi <br />March 2002 Page 2 of 2