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SHADED AREAS FOR CENTRAL SERVICES USE ONLY <br /> JOB NO. C.S.ARTIPRINT FILE NO. CUSTOMER WILL CENTRAL SERVICES <br /> B PICK-UP JOB ART/REPRODUCTION REQUEST FORM <br /> `FCALL WHEN R ADY) (PLEASE TYPE OR PRINT) SEE INSTRUCTIONS ON BACK OF THIS FORM <br /> SHIP TO:(Departn)ent,agency or Mail Services) 1st PERSON TO CONTACT 2nd PERSON TO CONTACT <br /> ADDRESS TELEPHONE NO. EXT. FAX NUMBER <br /> BOXES SNIPPED ENVELOPE SHIPPED BILL TO:(only if other than ship to) <br /> TITLE OF PROJECT(F#if applicable) ADDRESS <br /> NAME OF DIGITAL FILE(S) E-MAIL ADDRESS <br /> DATE OF REQUEST DATE&TIME ART RECEIVED TO PRINT PRINT DUE EST,ART COST/BY AUTHORIZED SIGNATURE <br /> REQUIRED (for request) <br /> ART DUE PRINT RECEIVED TO MAIL EST.PRINT COSTIBY <br /> BILLING CODE NO.(required to process order) COFRS DOC I.D.(for C.S.use only) DATE CALLED,FAXED OR MAILED <br /> YOUR Q,A,P NUMBER(9 digit COFRS code) I I T I A E A <br /> mDESIGNER APPROVAL(X) <br /> IT DATE ACCT PRD BUD FY <br /> ARTWORK/SAMPLE <br /> TYPE OF REQUEST ❑ ART REQUIRED ❑ PRINTING REQUIRED ❑ QUICK COPY REQUIRED INCLUDED? PAPER COLOR <br /> a SEQUENCE <br /> ❑ MAIL(call Mail Services to arrange for scheduling and processing of your mailing) ❑ OTHER(use Special Instructions area) ❑ YES ❑ NO o. <br /> NO.OF PRINT INK COLOR(S) FINISHED SIZE PAPER STOCK(weight and color) <br /> ORIGINALS QUANTITY ❑ BLACK ❑ CUT TO: ❑ FOLD TO: ❑ BOND ❑ NCR 2 3 4 5 6 1 <br /> ❑ 41144 x 5"4_ ❑ 5"42 x 81'42 ❑ TEXT ❑ IF NON-STD SEQ,USE;11111 2 <br /> ❑ 811a2 x 11 ❑ 811a2 x 14 ❑ COVER ❑ TRANSPARENCIES <br /> PRINT ❑ 11 x 17 ❑ TYPE OF BINDING PADDING 3 <br /> ❑ FRONT ONLY ❑ HEAD TO HEAD ❑ LETTERFOLD SIZE(#10 ENV) ❑ COLLATE/INSERT ❑ TOP ❑ BOTTOM <br /> ❑ FRONT&BACK ❑ HEAD TO FOOT (81142 x 11-3 PANEL,81142 x 14-4 ❑ SIDE STITCH ❑ LEFT ❑ RIGHT 4 <br /> DRILLING PUNCHING ❑ SADDLE STITCH <br /> NO.OF HOLES SIDE ❑ GBC ❑ VELO BIND ❑ CORNER STAPLE L R SHEETS PER PAD 5 <br /> ❑ 2 ❑ 3 ❑ 81i42❑ 11 ❑ 14 OTHER ❑ TAPE BIND(Q C ONLY) SHEETS PER SET <br /> ❑ ❑ ❑ SCORE ❑ PERFORATE ❑ SETS PER PAD 6 <br /> FOR QUICK COPY USE ONLY <br /> DATE RECEIVED IP <br /> IMPRESSIONS . - <br /> le 2D#BOND(Colors) $ TRANSPARENCY $ <br /> DOCUTECH QUICK COPY <br /> DATE PRINTED TEXT(70#-60#) $ OTHER $ <br /> COLOR PRINTER PRINT SHOP COVER/INDEX $ $ <br /> PROOF REQUIRED TAB DIVIDERS $ $ <br /> COST OS NUMBER CS NUMBER CS NUMBER COST CS NUMBER OPERATOR INIT. 1:0TAL COST <br /> CODE AB C D CODE 06 E <br /> SPECIAL INSTRUCTIONS(brief description of work desired) <br /> Design Center 303-866-3874 State Print Shop 303-287-8057 Quick Copy/Super Center 303-866-3343 Mail Services 303-866-3235 <br /> CS-02-0-01 (REV 9/99) DISTRIBUTION:White,Canary,PinkCentral Services Gold—Requesting Agency <br />