computer repair form

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THE JOHN J. DRISCOLL SCHOOL Public School 16 80 Monroe Avenue Staten Island, NY 10301 Academy Voice: (718) 448-6129 Fax: (718) 448-2533 Michele Ramos, Assist. Principal Caroline Conevery, Asst. Principal

Main Building Voice: (718) 447-0124 Fax: (718) 447-5398

Vincenza Gallassio, Principal Rita Diaz-Maniglia, Parent Coordinator (347) 563-4684 (Cell)

Computer Repair/Assistance Form

Please return to: Mrs. Conevery – Main Building Ms. Ramos – Annex Teacher Name:_______________________________ Room #:_________

Computer Model: Desktop______________

Date:_____________

Asset ID: DOE_____________________ Serial #____________________________ Problem:_________________________________________

Laptop_______________

Asset ID: DOE_____________________ Serial #___________________________ Problem:__________________________________________

Printer Model:____________

Asset ID: DOE_____________________ Serial #___________________________ Problem____________________________________________

Comments:


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