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Request Information <br />Request No 00065639 <br />Recorded By �F <br />Billing Code <br />Customer Information <br />Customer Name HOIBY KEVIN <br />Service Request <br />Date sn2izoo� Time tazo Status PR <br />CHRISCADEN, FRED <br />Address 4530 GRAND AVE <br />Apa�tment No Cily <br />Phone No ( 4zs ) zsz-�3as Ext <br />E-Mail Address <br />Problem Information <br />Address a53o <br />From Cross Street <br />Iniiiated From PUBLIC <br />City <br />Customer ld <br />Zip <br />Second Phone ( ) <br />Stfe2t GRAND AVE <br />PUBLIC <br />Subdivision <br />Problem Details NEEDS LOCATE <br />Pfoblem WATER WATER <br />Sub Problem LOCAT LOCATE <br />Down Dale Down Time <br />Assignment Information <br />Assigned To WMW WARD, MICHAEL W. <br />Responded Date Q=�,�-7 Responded Time <br />Left Date Left Time <br />WorkOrderNo. ��� fp���'7 <br />Action Taken � <br />To Cross Street <br />, :. . <br />.,�.;.�, � ��.:.�� <br />Ext <br />Completed By: �(' � Date: �' i�� 17 <br />Logged By �/� �r �. ��� 4�-1���� <br />��Zr%� � <br />� <br />� `� �� 0 x�'�`�'`/"x. <br />l� s2�� �,%�°� � <br />