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P�e i <br /> _ Service Request lZ,le„000 ,:1� <br /> Request In[ormadon <br /> Request No 00015�39 Date lziisiz000 l�:ls <br /> Recorded By xsR xoe�, sreveN n. Time <br /> Department Status oe <br /> Inidated From PUBLIC PUBLI: <br /> Billing Code <br /> Customer In[ormadon <br /> First Name �Y Last Name cxos� <br /> A�1'CSS 1725 RVCICEFt AVE <br /> Building Apartment No <br /> Ciry �p <br /> Ph}�^ ( ezs ) 339-85Y3 Ext Altemate Phone ( ) Ext <br /> Pro.:lrm In[orma8on <br /> Address 1725 RUCRER AVE <br /> Cross Street <br /> City - <br /> Problem Details STATED SEWEAG& IS H}1CRING UP INTp pLUGCED <br /> HAS6NEMf DMINS. <br /> Problem seweR s�wex <br /> Sub Problem ss SIDE SEWER <br /> Down Date Down Time <br /> Assignment Informatlon <br /> Serviced By wcx waaNeR, u�axY x. <br /> Dispatched By <br /> Responded Date lzilsizaoo Responded Time <br /> Work Order No Z opy Z 93� <br /> Activity Information <br /> Completed By S i-�-��Z <br /> Completed Date �i" �-�' ' � <br /> Action Taken TRZED TO TV LINE. STILL PLUCGED. TURNED OVER Tp <br /> GREG A. FOR REPAIR. <br /> User Detined / - / / <br /> �4�-CAoI S `4� S-Q.a�Q�2 <br />