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| Subject | ST JOSEPH/ST MARYS MEDICAL - Add/Change/Delete Custom Shopping List - 01203150 | Status | Open |
| Description | ST JOSEPH/ST MARYS MEDICAL - Add/Change/Delete Custom Shopping List - 01203150 | Support Owner | |
| Customer/Prospect ID | 90707822 | Assigned To | |
| Account Name | | Previously Assigned To 1 | |
| Request Type | Add/Change/Delete Custom Shopping List | Previously Assigned To 2 | |
| Other General Maint Request Type | | Priority | 3-Medium |
| Gen Maintenance Other | | Last Modified By | |
| OD/OM Overlap | | | |
| Approved/Rejected Date | | | |

Requestor Details:
| Requestor ID | 293523 | Requestor Name | |
| Requestor Mobile | (276) 466-7616 | Requestor Email | |
| Requestor Manager | Danny Preece | Requestor Name | Rachel Alexander |

Business Name/Address/Contacts:
| Old Business Name | | Contact First Name | |
| New Business Name | | Contact Last Name | |
| Account Level | | Contact Phone | |
| Address Sequence # | | Contact Fax | |
| Ship To Address 1 | | Contact Email | |
| Ship To Address 2 | | Bill To Address 1 | |
| Ship To City | | Bill To Address 2 | |
| Ship To State | | Bill To City | |
| Ship To Zip | | Bill To State | |
| | | Bill To Zip | |

Header/Comments Detail:
| Updated Soft Header Names - Dept/Cost Ce | | Header Requirements - Desktop | |
| Updated Soft Header Names - PO | | Updated Desktop Field | |
| Updated Soft Header Names - Release | | Updated Desktop Description | |
| Updated Soft Header Names - Desktop | | Header Requirements - Dept/Cost Center | |
| Header Requirements - PO | | Updated Dept/Cost Center | |
| Updated PO Information | | Updated Dept/Cost Center $ Limit | |
| Updated PO $ Limit | | Updated Dept/Cost Center Description | |
| Updated PO Description | | Updated Dept/Cost Center Instructions | |
| Updated PO Comments | | Customer Comments | |
| Header Requirements - Release | | Popup Comments | |
| Updated Release Info | | Essentials Comments | |
| Updated Release Comments | | Delivery Code | |
| Customer approved discussing migration | | Store # | |
| OD South pricing program presented | | Type of Download | |
| Annual Account Revenue | | | |

Pricing/Restrictions:
| Child ID | | Core ID #1 | |
| Child Name | | Core Action #1 | |
| Parent ID | | Priority #1 | |
| Parent Name | | Core ID #2 | |
| Core ID | | Core Action #2 | |
| Select Icon | | Priority #2 | |
| EPP Pricing | | Core ID #3 | |
| Minimum Amount per Order | | Core Action #3 | |
| Smartcart Options | | Priority #3 | |
| Type of Account Download | | Core ID #4 | |
| Tiered Discount Action | | Core Action #4 | |
| Tiered Discount - To: | | Priority #4 | |
| Tiered Discount - From | | Core ID #5 | |
| Tiered Discount - % | | Core Action #5 | |
| Restriction Timeframe | | Priority #5 | |
| Level of Restriction | | | |
| SKU | | | |

SPC/P-Card:
| Type of Change Needed | | Printable/Physical Cards | |
| Card Lost/Stolen | | Card Number | |

Comments/Dates:
| Expected Due Date | 7/24/2017 3:48 PM |
| Project Goals/Comments | |

Additional Details:
| Support Origin | | Record Type | |
| Contact Name | | | |

Approval:
| Approver1 | | Approver2 | |
| Approver3 | | Approver4 | |
| Compliance Queue | | | |