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Page 1 <br /> Service Request __�,�o�2o�z 10_43 <br /> Request Information <br /> Request No HSR�431 Date 3izo�zo�2 Time to:4t Status PR <br /> Recorded By HOFFMAN,STEVEN R. <br /> Billing Code <br /> Customer Information Customer ld <br /> Customer Name JESEN,PETER <br /> Address 5025 VIEW DR <br /> Apartment No City Z�p <br /> Phone No (azs ) 2593316 Ext Second Phone ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 5025 Street VIEW DR To Cross Street <br /> From Cross Street <br /> Initiated From PUBLIC PUBLIC <br /> City Subdivision <br /> Problem Details SIDE SEWER BACKED UP. <br /> Problem seweR SEWER <br /> Sub Problem <br /> Down Date Down Time <br /> Assignment Informatio�� <br /> Assigned To SDD STECHER,DANIEL D. <br /> Responded Date Responded Time <br /> Left Date Left Tiine <br /> Work Order No.J Q I a--U C `� I <br /> Action Taken J <br /> Completed By: /� ( I,� Date: � � <br /> Logged By lJ �� �� �- <br /> �—�-- ( C� - /� <br />