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Last Update: 09/26/2005 9:13 (Information Systems)

REQUEST for COMPUTER SERVICES

DATE REQUESTED DATE REQUIRED DEPARTMENT EXTENSION DESCRIPTION OF WORK TO BE DONE: (ATTACH EXTRA SHEETS IF NECESSARY) Requestor's Signature Date Account Manager's Signature Date DO NOT WRITE BELOW THIS LINE (FOR INFO. SYS. USE ONLY) Personnel Assigned Date Request Type: Run Existing Application Operations Modify Existing Application Programming New Application Other Job Stream/Procedure/Utility Copies Reports Printed: Name Pages Copies Name Pages Copies Name Pages Copies Name Pages Copies Name Pages Copies Name Pages Copies Completion Date By Last Update: 09/26/2005 9:13 (Information Systems) Open Records \| Privacy Statement