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Page 1 <br /> Service Request a�,��20�3 �o:SZ <br /> Request Information <br /> Request No oo�zzs3s Date anai2o�3 Time to:so Status PR <br /> Recorded By HMP HALE,MICHAEL P. <br /> Billing Code <br /> Customer Information <br /> Customer Name HARRIS,ROY Customer ld <br /> Address <br /> Apartment No City Zip <br /> Phone No ( ) Ext Second Phone ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address asos Street ELM ST <br /> From Cross Street To Cross Street <br /> Initiated From INTER INTERNAL <br /> City Subdivision <br /> Problem Details SINK HOLE FORMING IN STREET IN FRONT OF 4909 ELM ST. <br /> Problem SEWER :�EWER <br /> Sub Problem <br /> Down Date Down l�ime <br /> Assignment Information <br /> Assign�d To GCR GRENZNER,CHRIS R. <br /> Responded Date Responded Time <br /> Left Date Left Time <br /> Work Order No. <br /> Action Taken B•15-13,HMP CHEKCED,LOOKS LIKE SEWERIDRAINAGE REI.ATED,TURNED OVER To T57 <br /> Completed By: Date: � � <br /> Logged By <br /> l U _' , �i���} <br /> .> "��� <br /> �,-_ . <br /> -_:- . <br /> /��� F -ZN �� , ti � �9 09 <br /> � /74L E %nl �N.J E'� ��J <br /> / �� /% A//� � y/���. <br />