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Page 1 <br /> Service Request oe�ZZ�Zool 11:05 <br /> Request Information <br /> RequestNo 000zoesa Date oeiazizooi Time07i22 <br /> RCCO[(ICd By �S NESTEGARD, DEL S. SI8�I15 �P <br /> DCpBRMCIII <br /> Initiated From �D OTHER CITY DEPARTMENTS <br /> Billing Code <br /> Customer Information <br /> First Neme Last Name Epn <br /> Address <br /> Building Apaztment No <br /> Ciry Zip <br /> Phone ( ) Ext Alternate Phone ( ) Ext <br /> Problem Information <br /> Address ��TT A`� <br /> Cross Street W MARINE VIEW DR <br /> City <br /> Problem Details FIRE HYDRANT SHEARED OFF IN AUTO ACCIDENT. NO <br /> WATER SPEWZNG. <br /> Problem WATER WATk:R <br /> Sub Problem ��+ ��TS <br /> Down Date Down Time <br /> Assignment Information <br /> Serviced By wriw wnan. MICHAEL W. <br /> Dispatched By <br /> Responded Date oeizzizooi Responded Time <br /> Work Urder No zaaizoae <br /> Activity Information <br /> Completed By � -z� -v�e <br /> Completed Date � <br /> Acaon Taken PICKED UP BARAEL TO CLEAN UP AND REPAIR.STAND <br /> PIPE ZS FULL OF GRAVEL. TRUCRING COMPANY TO BE <br /> BILLED. <br /> User Defined <br />