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Page 1 <br /> Service Request 9�5�Zo�Z 15:30 <br /> Request Information <br /> Request No 000ss4z5 Date 1lzslzaos Time 1s2a Status CL <br /> Recofded By HHL HANSEN,HOWARD L. <br /> Billing Code <br /> Customer Information Customer ld <br /> Customer Name sesns,E� <br /> Addfess 1832 LOMBARDAVE <br /> Apartment No City Zip <br /> Phone No (azs ) 2523244 Ext Second Phone ( ) E� <br /> E-Mail Address <br /> Problem Information <br /> Address ta32 Street LOMBARD AVE To Cross Street <br /> From Cross Street <br /> Initiated From PUBLIC PUBLIC <br /> City Subdivision <br /> Problem Details WANTSONSIDEWALKLIST. <br /> Problem S7REET STREETS <br /> Sub Problem SDWK SIDEWALKS <br /> Down Date Down Time <br /> Assignment Information <br /> Assigned To HHL HANSEN,HOWARD L. <br /> Responded Date 112s12oos Responded Time <br /> Left Date Left Time <br /> Work Order No. zoosose� <br /> Action Taken HHL.MET WITH CUSTOMER,EXPLAINED POLICY,MADE AND RECIEVED SIGNED EST-17 YDS @ <br /> B0.00=880.00.SCHEDULED ASPHALT TEMPS,PUT ON LIST,CALLED 6•4•12,WILL <br /> SCHEDULE SIDEWALK REPLACEMENT WITH RADIUS INSTALLATION,BUSINESS OWNER IS ON <br /> VACATION 8•12•12 THRU 8-20•12,WILL SCHEDULE WHILE ON VACATION,DIAL DIG,DIG <br /> OUT,FORMED,POURED 6 YARDS CONCRETE 486 SQ FT 8•9-12,POURED 6 712 YARDS <br /> CONCRETE 526 SQ FT+48 LF CURB 8•10-12,POURED 81@ YARDS CONCRETE 688 SQ FT <br /> +55 LF CURB S•1;•12,POURED 7 YARDS CONCRETE 567 SQ FT+37 LF CURB 8-21•12, <br /> DEFORMED AND BACKFILLED,BILLED POR11 YARDS CONCRETE @ 580.00 PER YARD= <br /> $880.00 <br /> COfilpl0t0d By: BDB BREKHUS,DENNIS B. D8t0: 91512012 <br /> Logged By HMP HALE,MICHAEL P. <br />