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' Service Request <br />Requestlnformation <br />Request No ao�atoe9 Date si26nots Time �z:n Status PR <br />Recorded By M��� MALLAND, CHAD L. <br />Billing Code <br />Customer Information <br />Customer Name A 8 A PLUMBING, JOHN <br />Address <br />Apartment No City <br />Phone No ( a�5 ) soe•2a59 Ext <br />E-Mail Address <br />Problem Information <br />Address etto Street <br />From Cross Street <br />Irntiated From PUBUC PUBLIC <br />Customer ld <br />Zip <br />Second Phone ( � <br />XAVIER WAY <br />To Cross Street <br />�y.• y <br />_,��,��.�_ ��� �a <br />Ext <br />City Subdivision <br />Problem Details PLUMBER REQUESTS SHUT OFF AND LOCATE OF SHUT OFF. CALLER INFORAIEO OF POSSIBLE <br />CHARGES. <br />Problem WATER <br />Sub Problem <br />Down Date <br />Assignment Information <br />Assigned To wTe <br />Responded Date <br />Left Date <br />Work Order No. <br />Action Taken <br />WATER <br />Down Time <br />WESTVANG, TERRY E. <br />Responded Time <br />Left Time <br />Completed By: Date: 5 i��i �� <br />Logged k3y <br />a <br />