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i <br /> P3gr. 1 <br /> Service Request ,,�,,,�„ ,:,.; <br /> Request Information <br /> Request No 00129005 Date 9i312013 Time 09:24 St2fUS PR <br /> I ReCOfd2d By MBR MOSS,BRIAN R. <br /> Billing Code <br /> Customer Information <br /> ' Customer Name CRis�ARsoN Customer ld <br /> Addf2S5 4321 RIDGEMONTDR <br /> Apartment No City Zip <br /> Phone No (azs ) 2aa•oes7 Ext Second Phone (azs ) s22asre Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 4�21 St�e2f RIDGEMONTDR <br /> From Cross Street To Cross Street <br /> Initiated From PUBLIC PUBLIC <br /> City Subdivision <br /> Problam Details WANTED 70 HAVE IT DOCUMENTED THAT HIS BASEMENT WAS FLOODED AIJD HE IS SICK FROb1 <br /> IT BESIDES THE OAMAGES IT CAUSED. <br /> Problem SEWER SEWER <br /> Sub Problem B•FLDS BASEMENT FLOGD SEWER MAIN BU <br /> D�wn Date Down Time <br /> Assignment Information <br /> Assigned To SDD SiECHER,DANIELD. <br /> Responded Date Responded Time <br /> Left Date Left Time <br /> Work Order No. <br /> Action Taken <br /> Completed By: Date: i 1 <br /> Log�ed By <br /> i <br /> I' <br />