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Service Request <br />Request In[ormatlon <br />RequestNo 0003so9a Date osiieisoo3 Time13:i� <br />Recorded By xsa xoeeMnri, sTever� a. Status oP <br />Department <br />Initiated From PUBLIC PUBLIC <br />Billing Code <br />Costomer Information <br />First Name ��ALTER <br />Address 11 <br />Building <br />Ciry <br />Phone ( azs ) <br />Problem InformaUon <br />Address 11 <br />CCOSS $lfCOI <br />Clly <br />Lnst Nume K�H <br />E HEECH ST <br />Apartment No <br />Zip <br />35]-6015 Er.t Alternate Yhore ( <br />E BEECN sr <br />Problem Details DRAIN ON THE WEST R/W OF SYCNIORE JUST NORTH OF <br />HIS HOU�E ZS v'EVERAL INCHES BEIAW GRADE AND HE <br />YlANTS IT RAISED <br />Problem DRAIN DRAII.TGE <br />Sub Problcm ce� s ALL CB EXCF:PT cLeui <br />Down Da!e Down Time <br />Assignment Informadon <br />Serviced By nca nxces, GRECORY A. <br />Dispatched By <br />Responded Dnte OS/15/2003 Re��ponded Time <br />Work Order No zoo3iza9 <br />Acdvfty In[ormution�J <br />Completed By /%'� �'1O �� <br />Completed Date �•� �- et3 <br />Action Tuken WILL REPLACE <br />User Detined <br />) <br />Page 1 <br />06/17/.^003 15:07 <br />Ext <br />