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Va Je 1 <br /> 5'@NIC@ R@pU@St 9/9/2011 iz:as <br /> —_ _ ---- --- - ---- --- <br /> Requastlniormadon <br /> Request No 00122875 Date 812912013 Time 11:19 Status PR <br /> Recorded By BTM1 BEROER,TIMM. <br /> Billing Code <br /> Customor Informalion <br /> Customer Name NEWLAND,SAM Customer ld <br /> AddfASS 410 ALVERSONBLVD <br /> Apartment No City Zip <br /> Phone No (l2s � e��t�ez Ext Second Phone ( � Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �10 Street a�vERsoNe�vD <br /> From Cross Street To Cross Street <br /> Initiated From PUeuC aueuC <br /> City Subdivision <br /> Problem Details FLOODED BASEMENT. <br /> Problem SEWER SEWER <br /> Sub Problem <br /> Down Date Down Time <br /> Aasignment InformaUon <br /> ASSIgf18d TO SDD STECHER,OANIEL 0. <br /> Responded Date Responded Time <br /> Left Date Left Time <br /> Work Order No. <br /> Action Taken <br /> Completed By: Date: I 1 <br /> Logged By <br />