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Service Request <br />Request Information <br />Request No 00011528 Date 06/28/2000 Time14:47 <br />Recorded By HSR HOFFMAN, STEVEN R. Status OP <br />Department <br />Initiated From OCD OTHER CITY DEPARTMENTS <br />Billing Code <br />Customer Information <br />First Name <br />Address <br />Building <br />City <br />Phone ( ) <br />Problem Information <br />Address BAIRD AVE <br />Cross Street 52ND ST SE <br />City <br />Last Name EPD <br />Apartment No <br />Zip <br />Ext Alternate Phone <br />Problem Details MANHOLE COVER LOOSE POPPING UP IN THE SOUTH BOUND <br />LANES OF BROADWAY AT 52ND ST SE. <br />Problem SEWER SEWER <br />Sub Problem LOW- <br />Down Date Down Time <br />Assignment Information <br />Serviced By WLK WARNER, LARRY K. <br />Dispatched By <br />Responded Date z,6 - o v Responded Time <br />Work Order No <br />:2 ocV s3�.7 <br />Activity Information <br />Completed By <br />Completed Date <br />i0 •- S" • 00 <br />Action Taker <br />User Defined <br />Page I <br />06/28/2000 8:06 <br />Ext <br />