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Home My Public Portal AboutCox Services Agreement Relocation of PhoneCO, Business' This document when executed by the Current Account Holder and the New Account Holder shall serve as an acknowledgment of and consent to the transfer of the phone numbers listed above without the need for further documentation evidencing such transfer. Each person signing below represents that he/she is authorized to sign this form on behalf of their company and acknowledges that COX is relying on the validity and authority thereof All Services shall be provided under the applicable Cox terms and conditions. To the extent of any conflict between the terms and conditions in this form and the applicable Cox terms and conditions, this form shall control. CURRENT ACCOUNT HOLDER: NEW ACCOUNT MOLDER Print Corporate Name (if Current Account Holder is a commercial Cox customer), or individuars name (if Current Account Holder is a residential Cox customers): Print Corporate Name: C ; .� f , C j e re S4 V; e ['� `(!J► • • -• Signature: Auth•i • ignature• Print ignatory Name de 7/ 2 4 b el-6 n'J . /CO et Print Si-natory Name /,' z b e.iG-, rvl . 2� c� Title: c;1— V 0(t°r--A Title: Ci-1-(,clerk Date: /6 �(1//� Date: i°/c2(1/1 10/24/201210/ 16/2012 Posey, Brenda From: Leslie Brosofsky [acct1©kmsbusiness.com] Sent: Wednesday, October 24, 2012 8:47 AM To: Posey, Brenda Subject: Relocation Attachments: Crestview TN Transfer.pdf Good morning, Brenda. Here is the Cox document I need signed and sent back to me - for the relocation of the line. We will try and have this done this week! Thanks! 1. Relocate 850-682-4715 From: City of Crestview Parks & Rec Dept 100 North Hathaway Street Crestview To: PRI City of Crestview Public Works Dept 715 North Ferdon Blvd Crestview POC Brenda Posey Regards, Leslie Brosofsky Office Administrator /41C......,M1§ COMMUNICATIONS Innovative Solutions Phone: 850.433.1131 ext. 123 Fax: 850.438.0295 "Under Florida law. e-mail addresses are public records If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing." i SEND TO: CITY OF CRESTVIEW OFFICE OF THE CITY CLERK P. O. DRAWER 1209, CRESTVIEW, FLORIDA 32536 PHONE # (850) 682-1560 FAX # (850) 682-8077 FAX COVER PAGE DATE: /0l22 <did - TIME: /G / 0 aryl M S (COMPANY NAME) ATTN: ,L.�S l / 2.2 6 r-d ,� O -r FAX NUMBER: 837 ) - y,.. - ()oZ 1 ,S" TOTAL NUMBER OF PAGES FAXED: aNCL UCDING COVER PAGE) FROM: ) % e rl d C, e (2 MESSAGE/COMMENTS: Information contained in the facsimile is confidential and may be legally privileged information. If received in error notify sender immediately and return facsimile documents by mail. Disclosing, copying, distributing, or acting upon information with is prohibited.