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Service Request _ _ _„�:-�' �-<. - . <br /> RequestlnfortnaUon <br /> Request No �� Date znnot3 Time 16:3Y Status at <br /> Recorded By GESLAK.MART1'J• <br /> Billing Code <br /> Cuatomer Infortnation Customer ld <br /> Customer Name � <br /> Address �o3�s aRaottr RD <br /> Apartment No ��11 Z�p <br /> Phone No ( ) Ext Second Phone ( ) E� <br /> E-Mail Address <br /> Problem Infortnation <br /> Address +�s Street artPornrt� <br /> From Cross Street To Cross Street <br /> Initiated From OCD OTHER CITY DEPAR7MENTS <br /> City Subdivision <br /> Probiem Details E���TS CALLER CALLEO IN POTHOLE AT 103 RD SW(EASTBOUND LANE)AND AIRPORT <br /> Rono. <br /> Problem onaN DRAIIlAGE <br /> Sub Problem D� ORAIN LINES <br /> Down Date Down Time <br /> Ass�gnment Infortnation ���ER cHR�s rt <br /> Assigned To �R <br /> Responded Date y���3 Responded Time <br /> Left Date Left Time <br /> Work Order No. <br /> Action Taken 430 TO INVESTIGATE.I PUT TWO BARRICADES OVER POT HOLE <br /> Completed By: Date: � � <br /> �099� BY <br />