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; <br /> i <br /> Cage 1 <br /> Service Request 9/9/Z013 ]1:40 <br /> --- -- --- _ _ — _ _----- _ <br /> i Request Information <br /> i Request No oot2ss�s Date 812911013 Time oe:z4 Status PR , <br /> � Recorded By BBA2 BRIGHiWELL,BILLYA <br /> Billing Code � <br /> Customer Info�mation � <br /> Customer Name Customer ld <br /> Address <br /> Apartment No City Zip <br /> Phone No ( ) Ext Second Phone ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address tszo Street COLBYAVE <br /> From Cross Street To Cross Street <br /> Initiated From PUBLIC PU6LIC <br /> City Subdivision <br /> Problem Details CUSTOMER REPORTS WATER BACKING UP IN BASEMENT <br /> Pfoblem DRAIN DRAINAGE <br /> Sub Problem <br /> Down Date Down T'me <br /> ' Assignment Information <br /> � Assigned To S�D STECHER,DANIEL D. <br /> : Responded Date Responded Time <br /> Left Date Left Time <br /> Work Order No. <br /> Action Taken <br /> Completed By: Date: i i <br /> Logged By <br /> �l� . <br /> !� <br />