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Service Request , <br />Requestlnformation <br />Requesl No 000�soes Date si4i2oos Time ts:oo <br />Recorded By STW STRICKLER, TODD W. <br />Billing Code <br />Customer Information <br />Customer Name PORTER, TOM <br />Address <br />Apartment No City <br />Phone No ( zs3 ) 3n�tsa5 Ex� <br />E-Ni;ii! Address <br />Problem Informalion <br />Address Street <br />FfOfll CfOSs SlfCel 4THAVEW <br />Initiated From PUBLIC PUBLIC <br />Slatus PR <br />Cuslomer ld <br />Zip <br />Second Phone ( ) <br />[VERGRE[N WAY <br />Cily Subdivision <br />Problen• Details CONTRACTOR HIT WAl"ER UTILITY <br />Problem wnrER �,' <br />Sub Probiem 1_p,, f` <br />Down Dale � ` <br />Assignment Information <br />Assigned To htwE <br />Responded Date <br />Left Date <br />Work Order No. <br />Action Taken R�Pn; %PC� <br />WAT[R <br />Down Time <br />MOORE, WARREN [. <br />Responded Time <br />Left Time <br />SPrviCe <br />Completed By: �� q C 5 C— <br />Logged By <br />TO CI"O55 $�fCBI <br />��, � /� y �o,! i,-�c /ci� <br />Oate: 5' � �� � � <br />Ext <br />