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Service Request <br />Requat InPormation <br />Requestllo 0000�e9e Date oiiiziz000 Time 13:zz <br />Recorded By xsa xornurr, sTevcx a. Status op <br />Department <br />Initiated From PUBLIC PUBLIC <br />Billing Code <br />Cu�tomer Inforn�ation <br />First Name 9TACY <br />Address 6z2z <br />Building <br />City <br />Phone ( +zs ) <br />Problem Infarmation <br />Address 62zz <br />Cross Stroet <br />Ciry <br />Last Name PSE <br />BEVERLY BLVD <br />Apartment No <br />Zip <br />9ie-�cze Ext Alter�ate Phone ( <br />BEVERLY DLVD <br />Problem Details NIT 3/4 COPPER ON CITY SITE CREWW ON SITE. <br />Problem �'rER M71TER <br />Sub Problem ��' '� <br />Down Date <br />Down Time <br />Aaaignment Information <br />Serviced By ►R+v ►mnn� MICNAEL W. <br />Dispatched By <br />Responded Date Responded 7'ime <br />Work Order No xoo� o! 3�if' <br />Activity Information� �I^_� <br />Completed By �^`� y �� � <br />Completed Date /- / �i b� <br />Action Taken <br />✓'�%f�,.�"'`� <br />User Defined .> � �6� <br />�_ <br />Page 1 <br />01/12/2000 13:42 <br />) Ext <br />