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Page 1 <br /> Service Request 5,z9��o�z 9:�a <br /> Requestlniormation <br /> Request No 00109483 Date 51zel2otz Time oe:s5 Status PR <br /> R2COfdt?d By HSR HOFFMAN,STEVEN R, <br /> Billing Code <br /> Customer Information <br /> Customer Name AMeeRr,TERRI Customer ld <br /> Address 7828 CEDARST <br /> Apartment No City Z�P <br /> Phone No (4zs ) 33s•ee7e Ext Second Phone ( ) EM <br /> E-Mail Address <br /> Problem Information <br /> Address te2e Street CEDAR ST <br /> From C�oss :itreet To Cross Street <br /> Initiated From PUBLIC rueuc <br /> City Subdivision <br /> Problem Details SEE A HOLE AND SE'VERAL INDENTATIONS AT THE ASPHALT E9GE WNERE ITS IN FRONT OF <br /> DRIVEWAY. <br /> Problem :�EWER SEWER <br /> Sub Problem <br /> Down Date Down Time <br /> Aasignment Inforrtiation <br /> Assigned To �4GA AHLES,GREGORY A. <br /> Responded Date Responded Time <br /> Left Date Left Time <br /> Work Order No.�j�� /7�� <br /> Action Taken <br /> Completed By: Q I{�1,ef �,�— Date: � � <br /> Logged By g, � g,,� /� <br /> � <br />