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e��,_ i <br /> Service Request 3„a,���;�� �,:�, , <br /> Request Information <br /> Request No 000s9�zt Date 312 4120 0 8 Time �i:to Status PR <br /> Recorded By HSR HOFFMAN, STEVEN R. <br /> Biliing Code <br /> Customer Information <br /> C�.::�tomer Name o�soN,ARVINE Customer ld <br /> Address 3609 zsTH sr <br /> Apartment No City Zip <br /> Phone No (azs � 252-1340 Ext Second Phone ( ) Ext <br /> E-Maii Address <br /> Problem Information <br /> Addf25S 3609 Street 26TH ST <br /> From Cross Street To Cross Street <br /> Initiated From Pueuc PUBLIC <br /> City Subdivision <br /> Probiem Details P�UGGED SIDE SEWER. <br /> Pfoblem SEWER SEWER <br /> Sub Prob�em <br /> Down Date � � Oown Time <br /> Assignment Infonnation <br /> A.ssigned To SDD STFCHER,DANIEL D. <br /> ResN..:�ded Date Responded Time <br /> Left Date Left Time <br /> Work Order No.�06��3 � (a <br /> Action T,aken <br /> Completed By: �� �2�� Date: � I <br /> Logged By <br /> ,� - /`-� � 0 � <br />