Title Page
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Site Location Code
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Site name
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Conducted on
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Prepared by
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Location
Machine Info
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Terminal Serial Number
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Add a photo of the Terminal Serial Number
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Are you upgrading a Note Acceptor?
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Note Acceptor serial number
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Please take a photo of the upgraded note acceptor installed
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Please take a photo of the note acceptor serial number
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Are you upgrading the SSD?
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Please take a photo of the new SSD once installed
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Please take a photo of the new SSD serial number
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Are you upgrading a Win10 license?
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Please take a photo of the new Win10 license
Sign Off
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Machine start time
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Machine finish time
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Was the upgrade successful?
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What was the reason for the abort?
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Site Manager's Name
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Site Manager's Signature
