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Page i <br /> Service Request 11,o5,ZooZ Il:l� <br /> Request Intormation <br /> Request No 00030933 Date lliosizooz Time ;l:os <br /> Recorded By xsx HOFFMAN, STEVEN R. SLBIllS �p <br /> Depaztment <br /> S�iitiated From PUBI.IC PUBLZC <br /> Billing Code <br /> Customer Information <br /> Eirst Name BR�D� LaSI N8i11C SNELSON COMPANY ZNC <br /> Address 4846 GLENHAVEN DR <br /> Building Apartrnent No <br /> City Zip <br /> Phone ( sco ) 856-6511 Ext Altemate Phone ( ) Ext <br /> Problem Information <br /> Address 9846 GLENHAVEN DR <br /> Cross Street <br /> City <br /> Problem Details CONPRACTOR HIT HWCK POLY SERVICE LTNE ON CITY. <br /> Problem WATER WATER <br /> Sub Problem <br /> Down Date Down Time <br /> Assignment Information <br /> Serviced By wMw waxo, MICHAEL W. <br /> Dispatched By <br /> Rasponded Date Respon�ied Time � <br /> Work Order No � <br /> Activity Informaticn I <br /> Completed I3y j <br /> Completed Date <br /> Action Taken � <br /> User Def ned <br /> i <br />