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Service Request <br />_ - - <br />Request Information <br />Requesi ivo ootzss3� Daie 3�zsnota Time �s:as Status woc <br />Recorded By CBA CLEMANS, BRUCE A. <br />Billing Code <br />Customer Information <br />Customer Name sisse��, LAVONNE <br />Address szs Rosewav <br />Apartment No City <br />Phone No (azs ) 478-6355 Ext <br />E-Mail Address <br />Problem Information <br />Addfess 528 Stfeet ROSE WAY <br />From Cross Street <br />Initiated From PUBLIC PUBLIC <br />Customer ld <br />Zip <br />Second Phone ( ) <br />To Cross Street <br />Paac 1 <br />�/27/2G1S '7:1y <br />Ext <br />City Subdivision <br />Problem Details CUSTOMER REPORTS SEWER BACKUP. CUSTOMER NAD PLUMBER T.V. THE LINE AND SNAKE <br />BUT STILL BACKING UP. <br />Problem SEWER <br />Sub Problem B-FLDS <br />Down Date <br />Assignment Information <br />Assigned To HMA3 <br />Responded DbtE 312612014 <br />Left Date <br />Work Order No. zol4osa< <br />SEWER <br />BASEMENT FLOOD SEWcR MAIN BU <br />Down Time <br />HERNANDEZ, MIGUEL A <br />Responded Time <br />Left Time <br />Action Taken HMA3 ........................GO <br />BROKED AT NEW WATERMAIN. CITY CREWS TO REPAIR. <br />Completed By: Date: � � <br />Logged By <br />