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Page 1 <br /> Service Requ�est oz/oi/aoos 9:53 - <br /> Request Informatlon <br /> RequestNo 000z+iae Date os/oi/zocs Timeoe:se <br /> Recordcd By HSR HOPFTiN1, ST6VEN R. SlBhIS �p <br /> Dcpzrtment <br /> Initiated From p�LIC Pl1BLIC <br /> Billing Code <br /> Cu�tomer Intorcnation <br /> First Name Last Namc Ru�'Io <br /> Address zsos 19ARER AV8 <br /> Building Apartment No <br /> City Zip <br /> Phone ( +ss ) 303-0607 Ext Altemate Phone ( ) Ext <br /> Problem Informatlon <br /> Address zsas BAKER AVE <br /> Cross Street <br /> City <br /> Problem D�tails pLVC�lED 8IDE6EWBR. <br /> Problem sewaa 3EY16R <br /> Sub Problem ss SID6 56WER <br /> Down Date Down Tin�c <br /> Assignment Informetion <br /> Serviced By w�x warwea, WRRY K. <br /> Dispatched By <br /> Responded Date oz/oi/sooz Responded Time <br /> Work Order No doa �o y o� <br /> Activity lnformatlon <br /> Completed By ��— <br /> Completed Date �/' s' • o � <br /> Action Taken OP@16D 3ID6 SEW6R IN STRHBT. NEEOS ABPAIRRD. <br /> TURNED OVER TO GhEO A. F'OR REPAIR. <br /> User Defined <br />