JOB

Converge Information and Communications Technology Solutions, Inc. ORDER FORM

MAGNO BLDG, GOVERNORS DRIVE, TRECE MARTERES INSTALLATION
CITY, CAVITE
NO. : 00009815
TEL. NO.[PLDT]598-3000, [PLDT] 499-0615

JO STATUS: FOR RELEASING

*00009815*
JO DATE : Aug 01, 2019
ASSIGNED TO: COMCLARK CREW JO DATE DISPATCHED :
SUBSCRIBER'S ACCT. NO. - NAME : 012451 - ELENA STORE
SERVICE ADDRESS : B100 L36, SUNSHINE VILLE, CABUCO, TRECE MARTIRES CITY,
CAVITE, PHILIPPINES
CONTACT NO. : 09508091912
SCHEDULED DATE & TIME : BETWEEN Aug 01, 2019 12:00 AM AND Aug 01, 2019 12:00 AM
SPECIAL INSTRUCTIONS : ELENA STORE/TURNUAS,JILL IRISH MAHINAY /
iamjill.turnuas@gmail.com / 09508091912 / TMC003 LP9 NP1-2 P1
INSTALLATION REMARKS: NEW INSTALLATION
PACKAGE SERVICE: MICROBIZ 2000 MRC: 2000
NAP CODE: TMC003 LP9 NP1-2 PORT NO: 1
CO NAME:
DATE TIME STARTED : DATE TIME FINISHED :
REMARKS :

HOUSE DROP WIRE (RG-6) FOOTAGE READING

Beginning : Ending :
Total : O.R. NO. :

NODE IDENTIFICATION - Node #/Pole No. :

AMOUNT DUE :
SATISFIED WITH SERVICE? YES ___ NO ___ AMOUNT PAID :
IF NO, WHY?
BALANCE :
QUALITY OF SERVICE
EXCELLENT ___ V. GOOD ___ GOOD ___ POOR ___

Attested that both parties agreed that the subscriber checked his/her belongings and nothing is missing.

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

LINEMAN SUBSCRIBER
 JOB
Converge Information and Communications Technology Solutions, Inc. ORDER FORM
MAGNO BLDG, GOVERNORS DRIVE, TRECE MARTERES INSTALLATION
CITY, CAVITE
NO. : 00009815
TEL. NO.[PLDT]598-3000, [PLDT] 499-0615

JO STATUS: FOR RELEASING

*00009815*
JO DATE : Aug 01, 2019
ASSIGNED TO: COMCLARK CREW JO DATE DISPATCHED :
SUBSCRIBER'S ACCT. NO. - NAME : 012451 - ELENA STORE
SERVICE ADDRESS : B100 L36, SUNSHINE VILLE, CABUCO, TRECE MARTIRES CITY,
CAVITE, PHILIPPINES
CONTACT NO. : 09508091912
SCHEDULED DATE & TIME : BETWEEN Aug 01, 2019 12:00 AM AND Aug 01, 2019 12:00 AM
SPECIAL INSTRUCTIONS : ELENA STORE/TURNUAS,JILL IRISH MAHINAY /
iamjill.turnuas@gmail.com / 09508091912 / TMC003 LP9 NP1-2 P1
INSTALLATION REMARKS: NEW INSTALLATION
PACKAGE SERVICE: MICROBIZ 2000 MRC: 2000
NAP CODE: TMC003 LP9 NP1-2 PORT NO: 1
CO NAME:
DATE TIME STARTED : DATE TIME FINISHED :
REMARKS :

MATERIALS USED :
ITEM NAME QTY USED FREE QTY PRICE BILLABLE AMOUNT
PPC,EX6XLWSPLUS,RG6 UNIVERSAL COMPRESSION CONNECTOR,60% 30.00 0.00
THRU QUAD SHIELD
PPC,EX6XLPLUS,RG6 UNIVERSAL COMPRESSION CONNECTOR,60% 30.00 0.00
THRU' QUAD SHIED,CONTINUITY CONNECTOR
POWER SUPPLY FOR CABLE MODEM 12V1A #YW-120100 0.00 0.00
CONCRETE TOKS SIZE 8 0.00 0.00
CABLE TIE 6", 150MM BLACK CHINA 0.49 0.00
P6IQVMRM,PPC PERFECTFLEX 6-SERIES,QUAD-SHIELD CABLE,PVC 8.80 0.00
JACKET,MESSENGERED,IN REELS,METER MARKINGS
RG-6 CABLE WIRE 8.80 0.00
SPLITTER 2 WAY(INDOOR) 21.43 0.00
SPLITTER 3 WAY(INDOOR) 85.00 0.00
LIGHTNING ARRESTER 400.00 0.00
P-HOOK 22.00 0.00
CONNECTOR F-81 SPLICE TYPE 21.00 0.00
U-NAIL CABLE CLIP 5.00 0.00
SPLITTER 4 WAY(INDOOR) 143.00 0.00
CONNECTOR F-11 CRIMP-TYPE 20.00 0.00
CONNECTOR COMPRESSION INDOOR(EX6XL) 30.00 0.00
CONNECTOR COMPRESSION OUTDOOR(EX6XLWS)AQUATIGTH 30.00 0.00
RG - 6 CABLE WIRE ( PULL - OUT ) 0.00 0.00
SUNSEA,S CLAMP (GEPON ITEM) 43.26 0.00
SUNSEA,HOUSE BRACKET (GEPON ITEM) 47.04 0.00
SUNSEA,FOC CLIP,INDOOR CABLE CLAMP (GEPON ITEM) 2.10 0.00
SUNSEA,INDOOR OPTICAL OUTLET 2 FIBER (GEPON ITEM) 151.20 0.00
SUNSEA,FAST SC (GEPON ITEM) 116.76 0.00
YOFC,FIG.8 FTTH GJYXFCH-2B6A3 8.61 0.00
BELKIN N300 SURF ROUTERS 0.00 0.00

HOUSE DROP WIRE (RG-6) FOOTAGE READING

Beginning : Ending :
Total : O.R. NO. :

NODE IDENTIFICATION - Node #/Pole No. :

AMOUNT DUE :
SATISFIED WITH SERVICE? YES ___ NO ___ AMOUNT PAID :
IF NO, WHY?
BALANCE :
QUALITY OF SERVICE
EXCELLENT ___ V. GOOD ___ GOOD ___ POOR ___

Attested that both parties agreed that the subscriber checked his/her belongings and nothing is missing.

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

LINEMAN SUBSCRIBER
 JOB
Converge Information and Communications Technology Solutions, Inc. ORDER FORM
MAGNO BLDG, GOVERNORS DRIVE, TRECE MARTERES INSTALLATION
CITY, CAVITE
NO. : 00009815
TEL. NO.[PLDT]598-3000, [PLDT] 499-0615

JO STATUS: FOR RELEASING

*00009815*
JO DATE : Aug 01, 2019
ASSIGNED TO: COMCLARK CREW JO DATE DISPATCHED :
SUBSCRIBER'S ACCT. NO. - NAME : 012451 - ELENA STORE
SERVICE ADDRESS : B100 L36, SUNSHINE VILLE, CABUCO, TRECE MARTIRES CITY,
CAVITE, PHILIPPINES
CONTACT NO. : 09508091912
SCHEDULED DATE & TIME : BETWEEN Aug 01, 2019 12:00 AM AND Aug 01, 2019 12:00 AM
SPECIAL INSTRUCTIONS : ELENA STORE/TURNUAS,JILL IRISH MAHINAY /
iamjill.turnuas@gmail.com / 09508091912 / TMC003 LP9 NP1-2 P1
INSTALLATION REMARKS: NEW INSTALLATION
PACKAGE SERVICE: MICROBIZ 2000 MRC: 2000
NAP CODE: TMC003 LP9 NP1-2 PORT NO: 1
CO NAME:
DATE TIME STARTED : DATE TIME FINISHED :
REMARKS :

MATERIALS USED :
ITEM NAME QTY USED FREE QTY PRICE BILLABLE AMOUNT
SUNSEA,NAP W/ 1X8 SPLITTER AND SC/APC COUPLERS (GEPON ITEM) 3,654.00 0.00

HOUSE DROP WIRE (RG-6) FOOTAGE READING

Beginning : Ending :
Total : O.R. NO. :

NODE IDENTIFICATION - Node #/Pole No. :

AMOUNT DUE :
SATISFIED WITH SERVICE? YES ___ NO ___ AMOUNT PAID :
IF NO, WHY?
BALANCE :
QUALITY OF SERVICE
EXCELLENT ___ V. GOOD ___ GOOD ___ POOR ___

Attested that both parties agreed that the subscriber checked his/her belongings and nothing is missing.

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

LINEMAN SUBSCRIBER