Laserfiche WebLink
Page 1 <br /> 5ervice Request 12ilan°°° 11:1° <br /> Request Intormatlon � <br /> RequestNo 00015367 DBIC 12/16/2000 T�e�9:az <br /> RCCOI'df.d By HSR HOFFMAN. ST�VFN R. SIHIIIS �P �I <br /> Department I <br /> Iniriaced From �LIC PUBLIC <br /> Billing Code <br /> Customer In[ormation <br /> First Name �°= Last Name�D�Y <br /> Address �oxr� nve <br /> Building Apartment No <br /> City �p <br /> Phoae ( ) Ext Altemate Phone ( ) Ext <br /> Problem In[ormatlon <br /> Addresc z3s noar� nvs <br /> ��5�� 3RD PL SS <br /> Clty �ppRTS ►ATER COHING UP FZOM UND6R SIDEWALR. <br /> Problem Details <br /> Problem �T� W`T� <br /> Sub Problem Lenx L�ax <br /> Down Date Down Time <br /> Assignment Inforwatlon <br /> Serviced By � ��, Jo� <br /> Dispatched By � <br /> RespondedDate lziiaiz000 RespondedTime Q�''F <br /> WorkOrderNo 20002eea <br /> Activity Wormadon <br /> Completed By SG <br /> Completed Date /2-�+'-s o <br /> AcdonTaken ��i9 ��� <br /> UserDefined �3� .������gf' <br /> � A FhC� �g� �S� m� � �� <br /> � �— Ai^-� ��,E�P � /Q� /?..sa�F7'� <br /> ✓,yC 10/e/NJ` �'d � � � ,Pp�r✓� <br /> � �.e�c� /K/��'✓ /3���� � .. .`iS v.1/BfY/° � <br /> �,� < <�,� . /2�PA <br />