CLIENT REQUEST FOR BHI LCM CR# MRS CR # 2648832

Site:
Site name Site ID LOC0029-BRAESIDE BKHOBRAAU01

Address:
Street: City: County: State: ZIP Code: 5 WALKER ST BRAESIDE Australia Victoria 3195

Local Contact:
Name: Phone #: e-mail:

Alternate contact:
Name: Phone#: e-mail:

Type of Request:
Type of Client Move / Add / Change / Delete / Upgrade. request Description- What is going to be done: ADD: Test and Turn Up of new circuit: USO # N3098-CBKL/N3098-CBKK ISR13081983085 Speed: 4Mbps

Circuit Information:
Circuit ID: Circuit Type: Circuit Speed: USO# (If Applicable): LEC ID: IP WAN: IP LAN: OOB # (If Available) VLEC011491522ATI Ethernet 4 MB N3098-CBKL/N3098-CBKK

Equipment list:
Asset name Serial # Type of the assets (router, WIC card, Part Number, etc.) Router Quantity

AU-MELB-R1

FCZ1251719X

Loopback:
Router Host Name Loop Back IP Provided in GPS

Provided in GPS

Request Completion date:

Date : Time in CST or EST : BHI Change Order NO 01/14/2014 2 AM EST / 6.00 pm local time (Melbourne)

Requestor name:
Requestor name: Email: Phone:
CheeKean Lee CheeKean.Lee@bakerhughes.com

+60 3 2730 4230

Also, Please provide the below information: 1. Are there any hardware changes? (Yes / No) If yes, what are they? Awaiting customers response. 2. Who will do the configuration? (AT&T or BHI) 3. Who will perform the change? (AT&T or BHI)