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Paye l <br /> Service Request „�Q�Zo�� �2:4� <br /> Requestlnformation <br /> Request No GMA1843 Date 7��20�� Time t3:aa Status PR <br /> Recofded By GOGAL,MARJOFiE A. <br /> Billing Code <br /> Customer Information <br /> Customer t�ame BRIGHTWELL,BILLY CUStOr77Bf Id <br /> P,ddress <br /> Apartment No City Z�P <br /> Phone No ( ) Ext Second Phone ( ) E� <br /> E-Mail Address <br /> Problem Information <br /> Address aset Street VESPERDR To Cross Street <br /> From Cross Street <br /> Initiated From OTHER OTNER <br /> City Subdivision <br /> Probiem Details TWO SINKHOLES IN FRONT OF HOME.BILL POKED SCREW DRIV[R IN ONE AkD IT SEEMED <br /> HOLLOW ABOVE tiSPHALT. <br /> Problem SEWER SEWER <br /> SUb PfObl2f11 MAIN MAINS <br /> Do�vn Date Down Time <br /> Assignment Information <br /> Assi3ned To AGA AHLES,GREGORY A. <br /> Responded Date Responded Time <br /> Left Date Left Time <br /> Work Order No. <br /> Action Taken <br /> Completed [3y: v I (,��.� Date: � � <br /> Logged By � <br /> I �� , �� , � <br /> � <br /> ��� <br /> J <br />