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Request Information <br />Request No 000z33z� <br />Recorded By HSR HOFFMAN, <br />Department <br />Initiated From PUHLIC PUBLIC <br />Billing Code <br />Service Request <br />Date lzii9i2ooi Time ls:io <br />sT�ver� R. Status op <br />Customer Information <br />First Name ROGER Last NameJAcoas <br />Address 3811 FEDERAL AVE <br />Building Apartment No <br />':�y Zip 9ezoi <br />Phone ( azs ) 2s9-2oeo Ext Alternate Phone ( <br />Problem Information <br />Address 3811 FEDERAL AVE <br />Cross Street <br />�?ty <br />Prublem Details REPOATS A SUNKEN IN THE OUT FRONT OF HIS ADDRESS <br />WAS FILLED WITH ASPHALT NOW IS SINKING AGAIN <br />WITH WATER COMSNG UP. <br />Problem WATER WATER <br />Sub Problem LEn�c L�a�c <br />Down Date Down Time <br />Assignment Information <br />Serviced By wMw wr�. MICHAEL W. <br />Dispatched By <br />Responded Date iziivizooi Responded Time <br />WorkOrderNo zooiso�a <br />Activity Information <br />Completed By C 5 � <br />Completed Date / p�'o7(' / <br />Action Taken APPEARS TO BE A MAIN OR SERVICE BREAK.CAN WAIT <br />TILL AM:STERLING. 12/20/O1 EMERGANCY LOCATE <br />CALLED IN IN PM;WNIW. <br />User Defined REPAIRED MAIN BREAIC <br />) <br />Page 1 <br />�Z�Z�,Zoo� �o:�� <br />Ext <br />