CCNA / XXX / VER / 01
PON / EMRP2P-05 / ASC-EC
ICSC / NJ90
Administrative Section
REQTYP / ACT / ACTI / RTR / EXP / SUP / EDA / NAG
SD / N / F
UNIT / QTY / NOR / QSA / TQ / AFO / QNAI / EVCI / SEI / SRN
C / 1 / Y
DDD / CBD / PPTD / FDT
10 - 16 - 14 / - -
CKR
EMRP2P-05
ECCKT
FNI / FNT / RFNI / CFNI
ACTL / APOT / LATA / LA / LANM / LADATED
ABCDNJSSW01 / - -
LTP / ASG / TSC / CC / UNE / BSA / JPR
PSL / PSLI / WST / ISTN / WSI
- -
PIU / PLU / LUP / BAN / CUST / FBA / EF / DT / MUX
100 / N - / XXX COMPANY
SPEC / PROJECT / CNO / QA / AENG / ALBR / AGAUTH / DATED
TLSERP / Y / - -
BIC / BIC TEL / BIC ID / TSP / SAN / AFG
- - / -
RORD / RPON / CCVN / LAG / CCI
Bill Section
BILLNM / SBILLNM / ACNA / TE / FUSF / EBP
ABCD / XXX / A / E
STREET / FLOOR / ROOM / CITY / STATE / ZIP CODE
101 ANYSTREET / 1 / 20 / ANY TOWN / NY / 11111 -
BILLCON / BILLCON EMAIL / TEL NO
BILLCON / 232 - 212 - 1121 - 1212212
VTA / VCVTA / IWBAN
36 / - -
PNUM / PSD
FB123456 / - -
Contact Section
INIT / TEL NO / INIT FAX NO
JANE DOE / 212 - 222 - 2222 - 1234567 / - -
INIT EMAIL
STREET / FLOOR / ROOM / CITY / STATE / ZIP CODE
-
DSGCON / TEL NO / DSG FAX NO / DRC / FDRC
DSGCON / 212 - 222 - 2222 - 1234567 / - -
DSG EMAIL
STREET / FLOOR / ROOM / CITY / STATE / ZIP CODE
-
IMPCON / TEL NO / MTCE / TEL NO
IMPCON / 212 - 222 - 2222 - / - -
MTCE EMAIL
CB TEL NO / CBPC
- -
Remarks Section
REQUESTING 1 GBPS MULTI MODE OPTICAL HAND-OFF ERS PREMIER
WHEN THIS PRODUCT IS ORDERED UNDER A PRIVATE CARRIAGE AGREEMENT
(FORBEARANCE) THE PNUM FIELD MUST BE POPULATED WITH THE CONTRACT ID.
Switched Ethernet Services
CCNA / ATX / VER / 01
PON / EMRP2P-05-U1 / ASC-EC
ICSC / NJ90
Circuit Detail Section
NC / NCI / SECNCI / SR / SBDW / BUM / BI / ES
KFE- / 02LNF . A04 . / 02CXF . 1GE .
PROFE / PROFI
LAG-ID / LAG-P
DIVCKT / DIVPON
Location Section
CCEA
GETO / GBTN / GCON / GTEL
- - / - - -
IP ADDESS / IPAI / SUBNET MASK
ESP / OTC
Remarks Section
NOTICE: Verizon makes these order samples available as a convenience to its customers. The order samples (including without limitation any error or inaccuracy contained therein) shall not be deemed to impose any obligation upon Verizon, or to alter any rights or obligations of Verizon or a customer under a Verizon tariff or agreement.