Date received: 9-21-02 Date to Rep: 9-21-02   Date to Mgr:  
 
 
    Discontinuance
 
  2464 Fortune Drive  
Customer Name and Address:
  TgR CITY: Lexington STATE: ZIP: 40509 PHONE: 859-294-5679
1234   KY  
Town Number: 189   Customer Number: 00000 System No.: h420000000 Job No.: 02  
 
 
Discontinuance Effective Date:
  9-21-02 Discontinuance Transaction Code: 22-Full CUSTOMER discontinuance  
 
13-Partial Discontinuance  
  21-Full SYSTEM(contract) discontinuance  
 
  Charge CTC   22-Full CUSTOMER discontinuance  
    Negotiated CTC  
  TRUE No CTC-explain Discontinuance Reason Code: G-Relocation-Resalable  
 
A-Partial Service Decrease  
Negotiated CTC Amount:   B-Conversion  
 
 
 
TRUE   C-Price Reduction  
        D-Outright Sale of P & E  
Dismantlement Charge:   Checked box will cause to be saved E-Lost to Competition-price  
 
  to ZIP SORT page!   F-Lost to Competition-service  
  G-Relocation-Resalable  
Dismantle System:   H-Cancelled Protection  
 
TRUE NO   I-Cancelled for Non-Payment  
    YES   J-Demolished Premises  
    ASAP   K-Never Effective, Never Installed  
  Date     L-SIO Consolidation  
  M-Bankruptcy-Resalable  
Current Annual Service Charge 000.00   N-Out of Business-Resalable  
 
  R-Escalation Reversal  
     
Discontinuance Amount   000.00  
 
     
     
New Annual Service Amount 000.00  
 
 
 
 
    BILLING SEGMENTS/SYSTEMS TO BE DISCONTINUED  
 
Ownership System Service Connection Transmission Open/close Maintenance/Insp Asi Market Group Disco amt  
10 23 10 15 35 10 10 10 40 0  
 
 
 
 
For full system discontinuances fill in the Ownership and System Profile Codes.  
For partial discontinuances fil lin the Ownership and System Profile Codes, as well as any code that is being changed  
(e.g., Eliminating guard service-old code 20) - record the new code (e.g., 10-none) in the appropriate box.  
                     
CONTRACT TERMINATION CHARGE WAIVER COMMENTS: relocaton; relalable  
 
 
 
 
 
 
REMARKS:
originally signed with Security Link  
 
 
 
 
SALES REPRESENTATIVE:   Sales Rep Code:   Chargeback %:  
TMK   TMK   0  
National Acct. Manager Name:  
 
Area/Sales Manager:
 
Date:
 
       
General Manager:
 
Date: