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�Z�a <br /> Page 1 <br /> Service Request Z�zz�zo�z 14:1, <br /> Request Information <br /> Request N� HStRos7�a Date 2�2t�2otz Time 12:sa Status PR <br /> Recorded By HOFFMAN,SiEVEN R. <br /> Billing Code <br /> Customer Information <br /> Customer Name AiCtte�e,DOUGLAS Customer ld <br /> Addfess 2006 B E GRAND AVE <br /> Apartment No City Z�P <br /> Phone No (2os ) 251-38ea Ext Second Phone ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 2oos s Street E GRAND AVE <br /> From Cross Street To Cross Street <br /> Initiated From PUBLIC PUBLIC <br /> City Subdivision <br /> Problem Details SIDESEWERBACKEDUP <br /> F'roblem SEWER sEvue� <br /> Sub Problem Ss SIDE SEWER <br /> Down Date Down Time <br /> Assignment Information <br /> Assigned To GCR GRENZNER,CHRIS R. <br /> Responded Date Z f z2��Z Responded Time <br /> Left Date Left Time <br /> Work Order No. �UI \ ��� <br /> Action Taken d` <br /> Completed By: � ` ���`,i� Date: � � <br /> Logged By 3 ' ��— �� <br /> ��J`� , j�j,(, FutL a� 5f1�1`� � ��. `4� <br /> l <br /> �.� cS`�l.�. �';� Zc7a'� (3 <br /> �,N�LJ�r�, S��'S Zoo(� � <br /> �,C 5..�,�'� `—���c� z�4rZ. — Pct�H�+3 � <br />