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Page 1 <br />Service Request 07/30/2004 �,:oo <br />Request Information <br />Request No 000a3soa Date o�/3o/zooa Time 13:sz <br />Recorded By xsR HOFFMAN, STEVEN R. SI�h1S �p <br />Department <br />Initiated From P�LIC PUBLIC <br />Billing Code <br />Customer Information <br />First Name JEREMY Last Namc Pl�cxucK corrraacroes <br />Address 7511 BEVERLY LN <br />Building Apartment Na <br />City Zip <br />Phone ( zs3 ) 872-9797 Ext Altemate Phone ( ) Ext <br />Problem Informatlon <br />Address 7511 BEVERLY LN <br />Cross Street <br />City <br />Problem Details HIT 1" POLY LINE WHILE BORING. BREAK CRIMPED OFF. <br />PCObICIll WATER WATER <br />Sub Problem .o�� <br />Down Date � Down Timc <br />Assignment Information <br />Serviced By W'1'D WRIGHT, TYLER U. <br />Dispatched By <br />Responded Date 7'30^`� <br />Work Order No <br />Activity Information <br />Completed By W T E <br />Completed Date rI , �,x.j �c./ <br />Action Tnken � <br />C�-t � �'�-� ��' "'' �- �=y�� ��°�� <br />Responded Timc <br />User Defined <br />iiR►��/Z�iE1/��� �pi= <br />• r - � <br />RECORDS <br />AUG 3 01004 <br />