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Faac 1 <br /> Service Request a;���z�o� 3:�� <br /> Request Information <br /> Request No 000s25s7 Date aiz��2oo� Time 08:13 Status PR <br /> Recorded By HSR HOFFMAN,STEVEN R. <br /> Billing Code <br /> Customer Information <br /> Customer Name wnRD,MIKE Cuslomer ld <br /> Address <br /> Apartment No City Zip <br /> Phone No ( ) Ext Second Phone ( ) Ex.t <br /> E-Mail Address <br /> Problem Information <br /> AddfCSS 4330 SIfBBI COLBYAV[ <br /> From Cross Street To Cross Sireet <br /> Initiated FrOm INTER INTERNAL <br /> City 5ubdivision <br /> Problern Details SMALL SINKHOLE OUT FRONT OF ADDRESS. <br /> Problam SEWER SEWER <br /> Sub Problem SS <br /> Down Date Down Time <br /> Assignment Information <br /> A°.signed To AGA ANLES,GREGORY A. <br /> Responded Dale Responded Time <br /> Lefl Dale Left Time <br /> VVork Order No.��� 6 , L� G <br /> Aclion Taken � I <br /> Completed By: � � �-2�"� Dale: � � I <br /> Logged By <br /> 7 � � � 7 <br />