ࡱ> @ :4@bjbjFF ,,. *vvvvvvvt---kcdcTO-0(00012K3HD OOOOOO$NQRSZ3OEv:411:4:43Ovv00xO555:4"v0v0D5:4D55 =vv8>0#e pvu-\4=d?O0O=^Sr40S,8>vvvvSv8>,3"3533Y3333O3O$%5%MPSCS MOBILE RADIO INSTALLATION REQUEST Michigan Department of Information Technology 1. Requestor Name2. Job Title3. Request Date FORMTEXT       FORMTEXT       FORMTEXT      4. Department / Bureau / Division / Section / Unit FORMTEXT      5. Contact Name6. Telephone Number7. FAX Number8. E-mail Address FORMTEXT      ( FORMTEXT    )  FORMTEXT      ( FORMTEXT    )  FORMTEXT       FORMTEXT      VEHICLE INFORMATION9. Vehicle Location10. Vehicle Number11. Vehicle Type12. Vehicle Mileage FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      13. Additional Vehicle Information  MACROBUTTON [1] "Click HERE and Type"  EQUIPMENT TO BE INSTALLED14. Radio Type (check all that apply)Quantity FORMCHECKBOX MPSCS Mobile Radio FORMTEXT    FORMCHECKBOX Conventional UHF FORMTEXT    FORMCHECKBOX Conventional VHF FORMTEXT    FORMCHECKBOX Conventional Low Band FORMTEXT    FORMCNP   $ & ( 2 4 6 8 L N P Z \ ^ ` t v x      ڶګڕ{pj h#4Uh#4jh#4UhbCJOJQJhbjh4bUho5CJOJQJjh4bUj]h4bUjh !UmHnHujh4bUhqDKjhqDKUhoCJOJQJhhhiwhho+P  6 `T .d$IfgdqDKkd$$IfsF<-$+      t0    44 sa $Ifgd%gd]&gdU?2@Z6 ^ ja $Ifgdkd$$IfsF<-$+   t0    44 sa .$Ifgd   *fkd$$Ifs++,   t044 sa .$Ifgdfkd$$Ifs++,   t044 sa : b ~  l WNNN .$IfgdkdR$$Ifs\/ ^+ /!9  t044 sa $Ifgd     4 6 8 > @ D F Z \ ^ h j l n X Z \ p r t 斎j h4bUhqDKjhqDKUhbCJOJQJhb5CJOJQJj h#4Ujh#4Uj+h#4Uj]h#4Ujh#4Uh#4hbjh#4Ujh#4UmHnHu-l OA<$x$Ifa$gdbkd $$Ifs\/ ^+ /!9  t044 sa.$If]^gd#4  0 X ~~~~ $Ifgdwkdh $$Ifsh++,    t 044 sap X Z `WWWW .$Ifgdkd $$Ifs\-$+  k   t044 sat ~ D F H j  246R沪晕~vrh !jh !Uh#@CJOJQJh2h#@6 h26h2h#@hRqhRqB*aJphjhRqUhRqhb5CJOJQJjh4bUjh4bUju h4bUhqDKhbjhqDKUjh !UmHnHu+ B `W $Ifgdkde$$Ifs\-$+  k   t044 saB D F .$Ifgd.gdfkd $$Ifs++,   t044 sa <$x$Ifa$gdb <$xa$gdbhkd$$Ifs  ++, t0  44 sa 2~~ $Ifgdwkd$$Ifsh++,    t 044 sap 24X~vm`` . $If^ gd G $Ifgd#@.$ +$Ifa$gd Gykd$$Ifs0+   t044 saRTV~ .02VXlnptv|~::Uj~h !Ujh !Ujh !Ujh !Ujh !UhHjh !Ujh !UmHnHujh !Uh !jh !Uj<h !U4 J>5( . $If^ gd G $Ifgd#@ .$$Ifa$gd Gkd$$Ifs\T+   t044 sap( 4V=1( $Ifgd#@ .$$Ifa$gd Gkd$$Ifs\T+   t044 sap( . $If^ gd GVxz|=1 .$$Ifa$gd Gkd$$Ifs\T+   t044 sap( . $If^ gd G4kd$$Ifs\T+   t044 sap( . $If^ gd G $Ifgd#@HECKBOX Trunked Non-MPSCS FORMTEXT    FORMCHECKBOX OtherSpecify FORMTEXT       FORMTEXT   16. Device Type (check all that apply)Quantity FORMCHECKBOX Video Camera FORMTEXT    FORMCHECKBOX Laptop FORMTEXT    FORMCHECKBOX Modem FORMTEXT    FORMCHECKBOX Printer FORMTEXT    FORMCHECKBOX GPS FORMTEXT    FORMCHECKBOX OtherSpecify FORMTEXT       FORMTEXT   18. Additional Instructions  MACROBUTTON [1] "Click HERE and Type"  MPSCS USE ONLY1. Assigned to Name2. Date Assigned3. MP2 Ticket Number FORMTEXT       FORMTEXT       FORMTEXT      4. Action Taken  MACROBUTTON [1] "Click HERE and Type"  DIT-0162 5/06  PAGE 1 of  NUMPAGES 1 :::::<:P:R:T:X:Z:`:b:~:::::::::::::::::::::;F;H;\;^;z;|;~;;;;;;;;;;;;褜jU)h !Uj(h !Uh2h !6 h !6 h !5j"h !Uj:!h !Uj h !Ujh !UmHnHujph !Uh !jh !Ujh !U3:::\:^: . $If^ gd G $Ifgd#@ .$$Ifa$gd G^:`::::J>55 $Ifgd#@ .$$Ifa$gd Gkdn$$Ifs\T+   t044 sap(:::::::::: $Ifgd GFf$ . $If^ gd G $Ifgd#@ .$IfgdRq ::H;Z;JAA $Ifgd4bkd&$$Ifs\T+   t044 sap(Z;\;;;;;vm`` . $If^ gd4b $Ifgd4b.$ +$Ifa$gd4bykd'$$Ifs0+   t044 sa;;;;<J>5( . $If^ gd4b $Ifgd4b .$$Ifa$gd4bkd1*$$Ifs\T+   t044 sap(;;;;;< < <<<<<<6<8<:<H<J<^<`<b<f<h<l<n<p<<<<<<<<<<<<<<<<<<< = =======8=jo4h !Uj3h !Uj1h !Uj0h !Uj.h !Uj1.h !U h !5jh !UmHnHuj',h !Uh !jh !Ujk+h !U4<<<<<H<=1( $Ifgd4b .$$Ifa$gd4bkd,$$Ifs\T+   t044 sap( . $If^ gd4bH<j<l<n<<=1 .$$Ifa$gd4bkd/$$Ifs\T+   t044 sap( . $If^ gd4b<<<<<4kd2$$Ifs\T+   t044 sap( . $If^ gd4b $Ifgd4b<<<== . $If^ gd4b $Ifgd4b .$$Ifa$gd4b==>=J=Z=J>55 $Ifgd4b .$$Ifa$gd4bkd95$$Ifs\T+   t044 sap(8=:=<=Z=\=p=r=t=~===============>>>@>B>D>F>H>>>>>>>?????? ?迻xmj@h4bUjh4bUmHnHuj?h4bUh4bjh4bU h25h2hRqhRqB*aJphjhRqUhRq h !5j7h !Ujh !UmHnHuj7h !Uh !jh !Ujs6h !U*Z========== $Ifgd4bFf: . $If^ gd4b $Ifgd4b .$IfgdRq ===JA $Ifgd4bkd<$$Ifs\T$+    t044 sap(===D> .$Ifgd4b.gd4bfkd=$$Ifs++,   t044 saD>F>H>f><$x$Ifa$gd4b <$xa$gd4bhkd2>$$Ifs  ++, t0  44 saf>h>>>>~~~ $Ifgdwkd>$$Ifsh++,    t 044 sap >>?.?V?sjjj .$IfgdkdF?$$IfsF "+\ "  t0    44 sa ?*?,?.?0?D?F?H?R?T?x?z?|?~???????????????@@@@@@$@&@(@*@,@.@0@2@4@||ιε{qjhijUh hijhh#4h#@h#40J8CJmHnHuh#@0J8CJjh#@0J8CJU h}CCJ h#@CJhhRqhRqB*aJphjhRqUhRq h25jAh4bUh4bh2jh4bUjh4bUmHnHu,V?X?x?sj $Ifgdkd9B$$IfsF "+\ "  t0    44 sax?z?|?? .$Ifgd.gdfkdB$$Ifs++,   t044 sa????.@0@2@4@||z$If $ !J*gd%gd]hkdIC$$Ifs   ++, t0   44 sa + 0&P/ =!@"@#@$@%@. 00&P/ =!@"@#@$@%@+ 0&P/ =!@"@#@$@%@. 00&P/ =!@"@#@$@%@+ 0&P/ =!@"@#@$@%@. 00&P/ =!@"@#@$@%@+ 0&P/ =!@"@#@$@%@$$If!vh555#v#v#v:V>s t555/  /  /  / 4 sD&Text1Enter the requestor's name.D:Text2 Enter the requestor's job title.D M/dd/yyyy2Enter the Date of the request (Example: 4/12/1997)$$If!vh555#v#v#v:V>s t555/  / /  4 si$$If!vh5+,#v+,:V>s t5+,/  / 4 sDSText39Enter the Department / Bureau / Division / Section / Uniti$$If!vh5+,#v+,:V>s t5+,/ /  4 s$$If!vh5 5/5!59#v #v/#v!#v9:V>s t5 5/5!59/  / /  4 sD0Text4Enter the contact's name.D 000Enter the contact's Area CodeD2Enter the 7 digit phone number (Example: 373-1234)D  SuperAreaCode000!Enter the contact's FAX Area CodeD CoPhoneNumber6Enter the 7 digit FAX phone number (Example: 373-1234)D4Text5"Enter the contact's email address.$$If!vh5 5/5!59#v #v/#v!#v9:V>s t5 5/5!59/  / / /  4 s~$$If!vh5+,#v+,:V>sh  t 5+,/  4 sp $$If!vh55 5k 5#v#v #vk #v:V>s t55 5k 5/  / /  4 sD<Text6/Enter the address where the vehicle is located.D!Text7Enter the vehicle number.D$Text8Enter the vehicle type.D Text9Enter the vehicle mileage.$$If!vh55 5k 5#v#v #vk #v:V>s t55 5k 5/  / /  4 si$$If!vh5+,#v+,:V>s t5+,/  / 4 s$$If!vh5+,#v+,:V>s t0  5+,4 s$$If!vh5+,#v+,:V>sh  t 5+,/ /  4 sp $$If!vh55#v#v:V>s t55/  /  / /  4 sDeCheck1Check if MPSCS Mobile Radio DText10?If MPSCS mobile radio is checked, indicate the quantity needed.8$$If!vh5555 #v#v#v#v :V>s t5555 /  / / / / /  / / /  4 sp(De Check if conventional UHF radio.DText11CIf conventional UHF radio is checked, indicate the quantity needed.8$$If!vh5555 #v#v#v#v :V>s t5555 /  / / / / / /  / /  4 sp(De Check if conventional VHF radio.DText12CIf conventional VHF radio is checked, indicate the quantity needed.8$$If!vh5555 #v#v#v#v :V>s t5555 /  / / / / / /  / /  4 sp(De!Check if Trunked Non MPSCS radio.DText13HIf conventional low band radio is checked, indicate the quantity needed.8$$If!vh5555 #v#v#v#v :V>s t5555 /  / / / / / /  / /  4 sp(De%Check if conventional Low Band radio.DText14DIf trunked non SPSCS radio is checked, indicate the quantity needed.8$$If!vh5555 #v#v#v#v :V>s t5555 /  / / / / / /  / /  4 sp(DeCheck if other radio.D@Text212If other is checked, specify what other equipment.DText158If other radio is 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If known, please enter it.D Text13CEnter the number needed. For services, this number could be hours.DText14PEnter the unit of measure for commodity amounts i.e., ea., hrs., bx., case, etc.DText15?Enter a brief description of the item and options you may need.DIText16:Enter the unit price of the item being requested if known.AddItemD+ Text17=text13*text16'Enter the sum of Quantity X Unit Price.D$$Ifl!vh5v5T55*555#vv#vT#v#v*#v#v#v:V l05v5T55*555/  / / / / 4aDAddress1 UppercasedEnter the Addressee's mail address (street address, PO Box, etc., where the mail will be delivered). ClientCityD  SuperAreaCode000 Enter the Supervisor's Area CodeSuperPhoneNumberD ClientCity UppercaseEnter the Addressee's City. ClientStateD date1 M/dd/yyyy#Enter the Date (Example: 4/12/1997)D FirstName Uppercase_Enter the Addressee's First Name (and Middle Initial, if known). Then, tab to Last Name Field.LastNameD FirstName2\Enter the Grantee's First Name (and Middle Initial, if known). 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