STERLING BANK SERVICES REPAIR FORM

SITE ID:
PRODUCT MANUFACTORER:
PRODUCT TYPE:
PRODUCT SERIAL NUMBER:
PRODUCT DATE:

DESCRIPTION OF DAMAGE:

PART REPLACEMENT DESCRIPTION

TYPE HEIGHT WIDTH THICKNESS ATTACHMENT SERIAL NO PART NO

ADDITIONAL COMMENTS:
STERLING BANK SERVICES REPAIR FORM

SITE ID: WFB2010

PRODUCT MANUFACTORER: Companion Systems/Sterling ATM
PRODUCT TYPE: Surround/Topper/Kiosk
PRODUCT SERIAL NUMBER: 1234656789
PRODUCT DATE: 10-Oct
PHOTOS:

DESCRIPTION OF DAMAGE:

Surround header damaged, light fixture damage, footer heavily scared

PART REPLACEMENT DESCRIPTION
TYPE HEIGHT WIDTH THICKNESS ATTACHMENT SERIAL NO PART NO
Header 24.00 48.00 4.00 Latch/Pin 987456 321
Footer 12.00 48.00 3.00 Screws 456123 654
Light 12.00 24.00 NA Rivets 321456 987
Tombstone NA NA NA Twist T-5 Unknown Unknown
Bezel Mirror 2.00 2.00 NA Inset Unknown Unknown
Bezel 28.00 29.00 0.50 Unknown Unknown Unknown

ADDITIONAL COMMENTS:

Minor scratches on the bezel will require paint touch-up. Bezel measurements are outside dimensions. Light
measurements are for the LED light board or panel.
Minor scratches on the bezel will require paint touch-up. Bezel measurements are outside dimensions. Light
measurements are for the LED light board or panel.