Equipment Purchase/Maintenance 05/09/1990
@a.'~BelI
A BELLSOUTH Ccmpany
Equipment Purchase And/Or
Maintenance Service Order
1359-S8
(05-89)
("~ '"
~) J
Page 1 Of 1
Customer Installing Company
;..~t 011 r C) e (,: Ci tlll tv SC'utllf:rn I~ell
Installation Address Address
r:"; r ~'f11i tellead S trE.~e t 7 7l~.() T T 50 tI1 Stl~eet
...JUd . ~ j .
City State ZIP City State ZIP
\J(;~S t Florida 330i~.O Lvii ~:!ra i Flol.'"id.:1 33166
Agreement Number Order No.
LU\. 3266,j
EJ New. Product
Customer Initials Type Total Equipment Maintenance Price
D Used Voice = V Warranty Warranty Service Price, Including Service No. Of Per Total
Customer Initials Data = 0 Length On.Site = OWS Installation, Wiring Type Unitsl Unitl Monthly
· See Definition In Terms & Conditions Ote. Sys. = OS In Depot = DWS And Shipping On.Site = OMS Stationsl Stationl Maintenance
Equipment Description Misc. = M Days Mfg. Direct = MDWS (If Applicable) Depot = DMS Ports Port Charge
~ri (iia.rI 1 , ()p tiar:, 61 V 3 r:,: () \1rS ~} ,!""';j. I') 00 O~IS 51.L;.. $2 -1 r.: $1413. 50
"II.} 0, .c...~ . i.J
1 Ii. [I r iJ'il ":1 r e 6r; Sc,ft'w'a~" ~
.4,.
tal . 1. of Pt1rts=514
It
tal I' Electroni.c Set p=14.6
.\'=
tal {- C(JI1Soles = ?
o:c Ie.
_rl.~.r} 1 e l~irLe S ta tj.()ns V 365 0\J8 ,', !} .
~?
ri "('.l'ler als i.I 365 O"'7('f .1., JL~L ~+ J_
I v'; .) if .
'Us 1.1 365 o ~~\!' S (,'... (~t956. 39 () l.lS ('~ $30. 00 $,240 . 00
.) '-,I
de'.u.~s },.1 365 CJl'lTS ~ r.l '" [j.2 Ol!S ~ (, ]. ~: 00 '? if. 4 . 00
.)J III l.l _..i...
is tc111c1 tiOll <: ll~2 ~')2 . 79
y
- a tiO~~,1 1.J i J::- i 11~! 1-1 365 Ol'JS t? 2176. 1 4"\~
\,...... .l.L
bIe ~Job 1'1 365 O~iJS $ 2721. 00
i"l!) inc:- :::j lLISS. 50
. t..: - b
f1
( \
'. Ii J
1. U)5(\ I
.\! \ t ! \<-, Il \ tt
~ \ " t ~
.1. \, fo" "i\ ,
j!{.~ f
L"
Method of Payment And Other Conditions
Equipment Maintenance Sub- Total Additional Pages -..-.;,.......-.......-~.......~ Sub-Total Additional Pages --.........'illi'.....--.....-..._ .-,..."".............
- . ...... ,...... ...... ......0:....:.
!- ..;>. ";0:'.<0: Total Monthly Maintenance
,. I Charge 1697. 1:,
...)
Chari lE ....0:.. ................
The equipped capacity of the system described above is
Maintenance Service lines and telephones (stations). Additional equipment may
Installation/Delivery Date: Commencement Date: be required to increase line/station size in excess of the equipped
capacity up to the system's maximum capacity.
~ Maintenance Service Electrical Damage Repair Service
Exempt Tax Exenl pt
Certification No.: D D
Declined Declined
D Taxable Customer Initials Customer Initials
..........~...,"T~........~.~~.............
. ;JC
1v1c
1\.1
To
11 C)
'Te)
Pe
c;s
1-'10
Ir
Sl
Ca
Sll
Pursuant to the terms and conditions of the Agreement referenced above, Customer agrees to purchase and
Southern ijell agrees to provide the equipment and/or services described in this order.
Accepted by:
SOU(-~~II ~ ~~lPho/~~,a,~l~.~~~r~~h Company
By ~ By \..' '~.'. t I C tCi..... I
Authorized Signature "lflYCT i .. 1a JTmm' Date AUY'\rized tignature, .. /._ .;r
n ANTh i\.'" r T! 0 I .., ^ {"'TO' f r "''''n t" ~ L:J, iI.. . .....< r i (' /'J tv. \"\
AT1ESrr: -,- ~J'I,' i" .f', 1 J' u-\\"r J. i ^ ~..J~',i<.r\ ...S-7 · TrJ 'i.) \J '1 ~ ~/~-~1"~ J oJ v
liIl1m8i(X~~)IX() 1). ~ . ~ /)~ XNKe Name (Type or Print) I
White - Branch Office c ~7 · ~.L.~~. ''','' a ."..~ow - Customer Final
, C'T' /" t't :..~, \ '" P ~
Date
Title
Pink - Customer Preliminary