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Page 1 <br /> Service Request �,11�Zo12 11:15 <br /> Request Information <br /> Request No GMA�, Date tyts�2ot1 Time 73:zs Status PR <br /> Recorded By GOGAL,MARJORIE A. <br /> Billing Code <br /> Customer Information Customer ld <br /> Customer Name wH�NeR,BARRIE <br /> Address Z�P <br /> Apartment No ��tY E� <br /> Phone No ( ) Ext Second Phone ( ) <br /> E-Mail Address <br /> Problem Information <br /> Address z331 Street GRAND AVE To Cross Street <br /> From Cross Street <br /> Initiated From INTER INTERNAL <br /> City Subdivision <br /> Problem Details HOLE IS iREET IN PRONi Of HOME AND MAY NEED GRAVEL IN PLANTING STRIP TO FILL <br /> HOLE SIZE OF SOCCER BALL <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Down Date Down Time <br /> Assignment Information <br /> Assigned To A�A AHLES,GREGORY A. <br /> Responded Date Responded Time <br /> Left Date Left Time <br /> Work Order No.�G/�� �G I <br /> Action Taken <br /> Completed By: �-�� � Date: � � <br /> Logged By � ( / / � <br /> / ' � Y — ,�— <br />