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Request Information <br />Request No oo1a2515 <br />Recorded By csa <br />8illing Code <br />Customer Information <br />Customer Name AMBER <br />Address <br />Apartment No <br />Phone No ( azs ) <br />E-Mail Address <br />Problem Informatian <br />Address <br />From Cross Street <br />Initiated From PUSLIC <br />Service Request <br />Date toitznot� Time �s:o7 Status PR <br />CLEMANS, BRUCE A. <br />Customer ld <br />BEVERLY BLVD <br />City Zip <br />344•4081 Ext Second Phone ( ) <br />Street B�RLY BLVD <br />PUBLIC <br />To Cross Street <br />Paq= 1 <br />10/14/2011 13:14 <br />Ext <br />C�ty Subdivision <br />Problem Details MISSING MANHOLE COVER AT BEVERLY BLVO AND 54TH ST. 1614 EPD REPORTS ADDRESS AS <br />COLBY AND FAIRFAX. <br />Problem SEWER SEWER <br />SUb PfOb12R1 R8L RING AND LIDS <br />Down Date Down Time <br />Assignment Information <br />Assigned To AGA AHL�S,GREGORYA. <br />Responded Date Respc�;ided Time <br />Left Date �U � ��� (�� Left Time <br />Work Order No. <br />Action Taken 430 ...........................GO 1623 430 ASKS FOR BOOM TRUCK OP. 7625 509 <br />SAYS TO CALL BOOM TRUCK OP. 1629 CALL 500 LFT MSG, CELL. 7630 CALL 446 LFT <br />MSG. 1632 444 TO RESPOND. MANHOLE COVER NEEDS REPAIR. CHANGED ASSIGNED TO <br />AHLESIDMJ <br />Completed By: �I',��� <br />Logged By <br />Date: i � <br />J <br />