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2910 23RD ST 2016-10-25
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23RD ST
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2910 23RD ST 2016-10-25
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Last modified
1/13/2017 4:19:37 AM
Creation date
10/25/2016 1:55:39 PM
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Template:
Address Document
Street Name
23RD ST
Street Number
2910
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Service Request <br />Request Information <br />Request No 00152154 Date 411412016 Time 13:10 <br />Recorded By S� SORGEN, ROBERT A. <br />Billing Code <br />Customer Information <br />Customer Name PEDDICORD, NICHOLAS <br />Address 2910 23RD ST <br />Apartment No City <br />Phone No ( ) Ext <br />E-Mail Address <br />Problem Information <br />Address 2910 Street 23RD ST <br />From Cross Street <br />Initiated From PUBLIC PUBLIC <br />Status c� <br />Customer ld <br />Zip <br />Second Phone ( ) <br />To Cross Street <br />City Subdivision <br />Problem Details UNEVEN SIDEWALK, CUSTOMER WANTS NEW SIDEWALK <br />Problem STREET STREETS <br />Sub Problem SDWK SIDEWALKS <br />Down Date Down Time <br />Assignment Information <br />Assigned To SRA SORGEN, ROBERT A. <br />Responded Date 4I1412016 Responded Time <br />Left Date Left Time <br />Work Order No. 2oo5o3s7 <br />Action Taken DIG, 0412312016 <br />FORM, 04125,30,05I0212016 <br />POUR, 0510412016 <br />Completed By: GCE GILLIS, CHADWIK E. <br />Logged By SRA SORGEN, ROBERT A. <br />Date: 51412016 <br />Page 1 <br />5/9/2016 10:47 <br />Ext <br />
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