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Pagc 1 <br /> Service Request 6/11/2011 7:46 <br /> Request Information <br /> Request No 00099037 Date 61812011 Time 14:77 Stetus PR <br /> Recorded By ��A� GOGAL,MARJORIEA. <br /> Billing Code <br /> Customer Information <br /> Customer Name SCHMITT,MARrY Customer ld <br /> Address 2208 CHESTNUT ST <br /> Apartment No City ZiP <br /> Phone No (�25 ) 257•9565 Ext Second Phone ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 24oe Street cHEs7Nur st <br /> From Cross Street To Cross Street <br /> Initiated From PUBLIC PUBLIC <br /> City Subdivision <br /> Problem Details CIEAN OUT NEXT TO HOUSE IS BACKINO UP AND COMING OUT OF PIPE.ARE WE HAVING <br /> PROBLEMS IN THE NEIGHBORHOOD OR DOES HE HAVE TO CALL A PLUMBER.Pli CALL. <br /> Problem SEWER SEWER <br /> Sub Problem ss SIDE SEWER <br /> Down Date Down Time <br /> Assignment I,�formation <br /> Assigned To SDD STECHER,DANIEL D. <br /> Responded Date Responded Time <br /> Left Date Left Time <br /> Work Order No. <br /> Action Taken <br /> Completed By: � ' �.�t//-}- Date: � � <br /> Logged By <br /> � - ��- /� <br />