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ORDER for IDS-1 SERVICE <br />UNDER STATE OF INDIANA QPA 9796 <br />AT&T and Customer's signature, below, acknowledges that the signatory is authorized to place this Order for Service and has read and accepts all <br />Contra act terms and conditions, This Order has been placed under the authority of the QPA 9796, Service must be ordered and installed prior to 11-30-18, <br />which is the expiration of the Agreement associated with QPA 9796. <br />City Of South Bend <br />APPROVr&D <br />()f MrWic Work. <br />By: 018 <br />Printed <br />A i fm <br />Title: <br />SBC Global Services, Inc., d/b/a AT&T Global Set -vices, on <br />behalf of Indiana Bell Telephone Company, Incorporated <br />By: <br />Printed: <br />11, itle: <br />Date: 1. Date: <br />AT&T Administration Use Only: Applicable to Customer's Order <br />Validated by GSSO Rep. <br />LK3253 <br />Customer Award Letter or RFP Countersignature Date (State of Indiana QPA 9796 <br />RFP 4-95 Master Agreement No, 20050418-0404 [ATT Docld 30719519)) <br />03-29-2005 <br />Certified by Sates Rep, <br />MR3284 <br />LK3253 821218 SRI-5JKP3XM OP1-3WU81 S3 QA-RLR 735038v3 DS1 Customer Service Order Request Form v1 20516 <br />Page 2 of <br />