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Paqe 1 <br /> Servi�ce Request 6/9/2012 9:45 <br /> Requeat Infor.nation <br /> Request No 0o1o9�ss Date s2s1'm�2 Time oe:39 Status woG <br /> Recorded By � HOFFMAN�STEVEu R. <br /> Billing Code <br /> Customer Infonnatfon <br /> Customer Name w►uE,Sue Customer ld <br /> Address t208 wETMORE�VE <br /> Apartment No City Z�P <br /> Phone No (42s ) 33� Ext Second Phone ( ) Ext <br /> E-Mail Address <br /> Problam informatlon <br /> Address t2o2 Street werMORe�vE <br /> From Cross Street To Cross Street <br /> Inifiated From Pueuc Pueuc <br /> City Subdivision <br /> Problem Details ����CTLY 3 FOOT SOUiH POLE wHICH IS DIRECTLY BEHIND 1202 <br /> Problem sEwEe sEwER <br /> Sub Problem twN rwHs <br /> Down Date Down Time <br /> Asslpnment Informatlon , <br /> Assigned To AGA AHLEs,c3REcioRYA. <br /> Responded Date srtsnot2 Responded Time <br /> Left Date Left Time <br /> Work Order No. zot2o�se <br /> Action Taken <br /> Completed By: O I (,�� � Date: 1 ! <br /> Logged By <br /> � - �-�3 - �-Z <br />