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i <br />: <br />r � <br />Service Request <br />Request Intormatlon <br />RequestNo aooaeea9 <br />Recoided By rros rissTec.ven, ns, s. <br />Department <br />TilthB� FPOIII PUBLIC PUBLIC <br />BIll1Dg �,'OdC <br />Customer Informatlon <br />First Name <br />Addross 3z� somx sr sw <br />Date o5iosizoo2 T��e os:oo <br />Status oe <br />Last Name � <br />BW��OB Apartment No <br />Clly �;p <br />Phoae ( ) Ext Altemate Phone ( ) <br />�roblem Intormation <br />�iddCCSS 327 5017i ST SW <br />CIOSS $11CCt <br />Cl[Y <br />Pt011%CIII DC�81IS �N HRHAK IN FRONT OP nHOVE ApDRESS. SfiE SR <br />26828 FOR INITIAL CALL. <br />Probiem WATER WATSR <br />Sub Problem LerJc Lsnx <br />�� Da� Down Time <br />Aasignment Information <br />Serviced By wxe wec,�. �uxx F. <br />Dispatched By <br />Responded Date Responded Time <br />Work Order Na <br />Activity Informatlon ��� <br />Completed By J� <br />Comp(eted Date G ^S^'^�2, <br />Acdon Taken osos-wei,�nnr� wn,i, x�seorm, <br />User DeBned s �� �r,� � '� 2�p ��/� <br />a �` <br />06/OS/2002 <br />Ext <br />i <br />8:�8 <br />