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??.,. <br />fib <br />(09LA?mker)fteth <br />Confirmation of Service Order <br />Exchange Dedicated Communications 5ervices - <br />Base Rate, Fractional DSl, DSi and DS3 Services <br />Service Type: ? <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: ? 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 HI 60 Requested Installation Date: <br />Monthly Charges: 156.00 Non Recurring Charges: 0.00 <br />Circuit Quantity: 1 # Muttipoint Locations: <br />Service Location #1: Service Location #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 AMERITECH <br />Authorized Customer Signature Authorized Ameritech Signature <br />- ?rsi^mav? r MuS(aZ Ms.V*r <br />Print Name and Title -t- Print Name and Title Date <br /> <br />Date <br />CITY OF NORTH OLMSTED - 216 R43 2639 <br />Company Name <br />Billing Address <br />City, State and Zip Code _ <br />Customer Contact <br />AMERITECH CONTACT INFORMATION <br />HARLEY ROSS H685120 <br />Ameritech Sales Representative Name Safes 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 />Customer Contact Phone Number Phone Number <br />440 892 2850 <br />Existing Billing Account Number (if appiicable) Fax Number <br />As used herein, Ameritech means Rlinois Bell Tefephone Company in Illinois; Indiana Bell Telephone Company Incorporated in Indiana; Michigan Be[I Telephone <br />Company in Michigan; The Ohio Be[! Telephone Company ui Ohio; and R'isconsin Bell Inc. in Wisconsi <br />Mazch 2002 Page 2 of 2