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Page lo <br /> Servsce Request o9isnizoaz 6:25 <br /> Request Information <br /> Request No 000z99ze Date o9i2oizooz Time iz:sa <br /> Recorded By Hsa HOFFMAN, STEVEN R. SlBIUS �P <br /> Department <br /> Initiated From PUBLIC PUF3LIC <br /> Billing Code <br /> Customer Information <br /> First Name RICHARD L85I N8Il7C i1ERBERT <br /> /�1ddf05S 1312 34TH ST <br /> Building Apartment No <br /> City Zip <br /> Phone ( azs ) asz-��an Ext Alternate Phone ( ) Ext <br /> Problem Information <br /> Address 13i2 s��rn s�� <br /> Cross Street <br /> City <br /> Problem Details vexzcr�e saoi:s oe sHUT ore <br /> Problem F7ATER WATER <br /> � Sub Problem w A-�'�4� <br /> Down Date Down Time <br /> Assignment Information <br /> Serviced By MTL2 MARRHAM, TIMOTHY L. <br /> Dispatched By I� iRvt N, RALPN D. <br /> esponded Date 'Zp/pZ Responded Time <br /> or c rder No � <br /> Activity Information L n c e �S ALrF- �a ^^w-�-^� <br /> Completed By 5, � � W`�"� I � � <br /> Completed Date ��,�;�Q v.c e�S c�� �`' P °`'�� Y`e <br /> Action Taken 5�.,._� o -�' �UoX �,e��S ,� b� ,,''g�q,( �e a I <br /> User Detined � � <br /> ��.�CIG f ��� r�o � � o.,.� 1�. � � <br /> � , � <br /> _ ...<,� �, ,. � _ _ _ ,, s.„� <br /> _;-- <br /> . ___-_ ... .�:%riA\� <br />