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Request In[ormatlon <br />Request No 000iseee <br />Recorded By xsR HOFFMAN, <br />Department <br />Initiated From PUBLIC PUBLIC <br />Billing Code <br />Customer InformeUon <br />Fint Name $ILL FISHER <br />Service Request <br />Date oiioeizooi Time os:ia <br />s�reever� x. Status oP <br />Address 3906 GRAND AVE <br />Building <br />City <br />Phone ( ) <br />Problem Intormadon <br />Address 3906 GRAND AVE <br />Cross Street <br />Ciry <br />Last Name�s" �'"� <br />Apartment No <br />Zip <br />Ext Alternate Phone ( <br />Problem Dztails CONTRACTOR HIT SERVICE LINE. <br />Problem WATER ATER <br />Sub Problem j� <br />Down Date Down Time <br />Assignment In[ormatlon <br />Serviced By � W�D, MICHAEL W. <br />Dispatched By <br />Responded Date /—�6'v/ Responded Time <br />Work Order No Zaaloi9z <br />Activity Information <br />Completed By � Q �' � <br />Completed Date �„ � .� � <br />Action Taken <br />) <br />User Detined ,(i , _ �'j���/ � � � � �' `fj ., p <br />;,� ���� ,� �f� j,. <br />r <br />Page 1 <br />O1/OB/2001 14:38 <br />Ext <br />