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Request Information <br />Request No ootza7az <br />Recorded By DRA <br />Billing Code <br />Customer Information <br />Customer Name MILLER, KEN <br />Service Request <br />Date 1o1z412o13 Time o7:45 <br />DURRANT, ROGER A <br />Address G18 60TH ST SE <br />Apartment No s City <br />Phone No ( 2os ) 3eo•2ao1 Ext <br />E-Mail Address <br />Problem Information <br />Address <br />From Cross Street <br />Initiated From PUBLIC <br />Street <br />PUBLIC <br />60TH ST SE <br />Status PR <br />Customer ld <br />Zip <br />Second Phone ( ) <br />Page : <br />io/�a/zoi3 �:•i9 <br />To Cross Street EAST DR <br />Ext <br />City Subdivision <br />Problem Details VIA EMAIL - CORNER OF EAST AND 60TH ST. SE <br />PLE,�SE DESCRIBE THE TYPE OF RE�UEST: THERE IS A HOLE IN THE PAVEMENT, AND WHEN <br />YOU LOOK DOWN, IT LOOKS LIKE IT GOES RATHER DEEP. A POTENTIAL CAVE•IN FORMING. <br />Problem DRAIN <br />Sub Problem OTHER <br />Down Date <br />Assignment Information <br />Assigned To GCR <br />Responded Date <br />Left Date <br />Work Order No. <br />Action Taken <br />DRAINAGE <br />OTHER <br />Down Time <br />GRENZNER, CHRIS R. <br />Responded Time <br />Left Time <br />Completed By: Date: � � <br />Logged By <br />