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Request No. <br /> County of Hawaii • 25 Aupuni Street • Hilo, HI 96720.961-8241 • Fax 961-8248 <br /> TELEPHONE CHANGE REQUEST <br /> DepartmenUDivision: Parks & Recrzation - EAD/RSVP Date: I ~q1 <br /> <br /> [ )Addition [ ]Deletion [X] Move/Change <br /> Purpose of Change: To convert existing telephone line to enable Internet access. <br /> Federal funds were provided specifically for the purchase of a modem and <br /> Internet service. Federal funds will be used. <br /> Installation Monthly Total Funding Required <br /> Charge: $ 178.00 (approx Dharge: $ NA For Fiscal Year: $ 178.00 <br /> [ x] Funding available, Acct. No. 010-481-5482.02-109 <br /> [ ]Funding through Accounts Division " <br /> Effective Date of Change: Mav i 997 Telephone No. 961-870 <br /> InstallationSlreetAddress: 34 Rainbow Dr.. Hilo. tii Room No. 101 <br /> Floor Plan Attached': ()Yes (fC ] No <br /> Contact Person During Installation: u c+„arr xaarns. Tr. Telephone: 9E;i -87R0 <br /> Alternate Contact Person: Bertha Mashiyama Telephone: 961-8730 <br /> Billing Address: Parks & R creation EAD RS°o ~F a c+ u • ~ n HT 96720 <br /> Description of Work to be Done: Taking off multi-line & wiring a separate <br /> dedicated 'ack. <br /> tment Head <br /> ' Floor plans will be required for major adds or oves (more than 5 telephones or lines). <br /> - <br /> pp ~ Denied ~ <br /> A roved [ ] [ ] APR 1 $ 1997 <br /> Directo f Finance Date <br /> Concur: Date <br /> Controller <br /> Routing: <br /> Controller " (if funded through Accounts Division) <br /> Director of Finance <br /> Accounts <br /> Accounts Form TCR (Rev. 6/95) <br /> <br />