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Page 1 <br /> Service Request Z,��,Zo�a �5:�z <br /> Requeatlnformation <br /> Request No oaoastz� Date y�112o�o Time 11:33 Status woc <br /> Recorded By MBR MOSS,BRIAN R. <br /> Biiling Code <br /> Cuatomer Information <br /> Ci�stomer Name KEAn',MAUREEN Customer ld <br /> Address 1707 RUCKERAVE <br /> Apartment No City Z�P <br /> Phone No (4z5 ) 252-soes Ext Second Phone � � E� <br /> E-Mail Address <br /> Problem Information <br /> Address t�o� Street RUCKERAVE <br /> From Cross Street To Cross Street <br /> Initiated From PUBLlC PUBLIC <br /> ��ty Subdivision <br /> Problem Details HOLMSTAD i'LUMING SAID PROBLEM ON OUR SIDE UF SIDE SEWER. <br /> Probiem SEWER SEweR <br /> Sub Problem <br /> Down Date Down Time <br /> Assignment Infonnation <br /> Assigned To oss o�HAvq eRno s. <br /> Resporded Date Responded Time <br /> Left Date Left Time <br /> Work Order No. 2otoo3tt <br /> Action Taken <br /> Completed By: D' ��J� Date: � � <br /> Logged By Y � � _ � �j <br /> �/� <br /> ., <br />