20-030.00 Mitel: Change of Service Ownership -00
DocuSign Envelope ID:7CD693CB-DB27-4D21-BFOA-2D78B7CEOFCF
DO Mite.'
nowenng connections
CHAN(.E OF SERVICE OWNERSHIP AND PASSWORD RESET REQUEST
**Send complet d/delectronically signed copy to lidei3Se:supi ort c rnitel xom for processing.**
Please supply the following informati i n:
End Customer(Required):
Company Name:city of spok•ne valley
Street Address: 10210 E. Spra.ye Ave
City/State/Country:spokane v.1ley, WA 99206 USA
_New Authorized PartnejRequire. :
Partner Name: Fi rstl i ne voi e & Data
Complete Address:3240 118th .ve SE suite 100 Bellevue, WA 98005
SAP Account#: 117448
System information REQUIRED: ist all applicable systems for the End Customer,including multiple sites. Sys ID and/or Application Records
(Mi1B,MiV0250,SX200,etc). MiV•ice Connect can be specified by entering`MiVoice Connect"since no ID exists. Cloudlink Account ID.
roue App record 41592561; MxeIii App record 82572899; MiCollab App record 91361063
Reference Number or Purchase 0 der Number for Change request invoice: 51199 (Required)
Please acknowledge these areas 'y checking each box before signing below. Box 3 is required for password resets:
Ed By submitting this regue t,I am confirming that"New Partner"has received written approval from the End Customer to make this
requested change.
®By submitting this reques, I am confirming that I am authorized to do so on behalf of Fi rstl i ne voi ce & Data
I acknowledge that an admin w-':tive fee will be charged for this service. An additional fee will be charged if the systems do not have
active SWA coverage.
0 If a Password Reset is Re.wired for one or more of the above systems,please complete the information below. I acknowledge that
an administrative fee may be harged for this service.
•
Name and/o'r Tech ID#of certi led technician assigned to this request:
Application Record ID(s)I Ope Case Number:
Hardware ID(s)/System ID(s) Serial#'s:
Sys I Type(s)•
rtner Authorized Signature Printed Name
4 f-c-6t vsr._' 441r- /I/20,4z z)
Title - Dat
I have the authority to bind th corporation
DocuSign Envelope ID:7CD693CB-DB271D21 s FOA-2D78B7CEOFCF
Date //A,i/va 7,
Mitel Networks Corporation
350 Legget Drive
Kanata,Ontario
K2K 2W7
Attn: license.support@mite.co
Dear Mitel:
This is to confirm and to provide yo with the approval to move our Mitel system(s)that are identified on the attached
application record transfer form an i/or request a password reset for the attached system(s).
We understand that these records re being permanently moved from the current managing partner to
Fi rstl i ne Voice & Data . The current managing partner will no longer have access to the records once this
move is completed.
By submitting this request, I am als$ confirming that I am authorized to do so on behalf of the company.
Sincerely,
Company Name: city of spoka Valley
Signature: �
Name: ,re/r.v Ho frioLt4A/
Title: De",
*I have the,authority to bind the corporation