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i <br />Request Information <br />Request No R0�1�0395 <br />Recorded By <br />Billing Code <br />Customer Information <br />Customer Name EVANS, JUDY <br />Service Request <br />Date �Izsizo» Time 16:05 <br />ROLFE, ROBERT M. <br />Addf2Ss 10804 9TH DR SE <br />Apartment No City <br />Phone No ( az5 ) 232•57za Ext <br />E-Mail Address <br />Problem Information <br />Address �oeoa <br />From Cross Street <br />' ' t d From PUBLIC <br />Street <br />PUBLIC <br />9TH OR SE <br />Status PR <br />Customer ld <br />Zip <br />Second Phone ( ) <br />To Cross Street <br />Pa9e 1 <br />7/26/2011 P:OD <br />Ext <br />Initia e Subdivision <br />City <br />Problem �etails CUSTOMER REPORTS A BROKEN GRATE IN FRONT OF HER HOUSE IS DANGEROUS. <br />CUSTOMER HAD CLLED THIS IN A COUPLEOF MONTHES AGO. <br />Problem DRAIN DRAINAGE <br />Sub Problem OTHER OTHER <br />Down Date Down Time <br />Assignmentinformztion AHLES,GREGORYA. <br />Assigned To AGA <br />Responded Date Responded Time <br />Left Date Left Time <br />Work Order No� b� I �� �� <br />Action Taken ENTERED INFO FOR FURTHER ACTION <br />Compieted By: l�(,`�� <br />Logged By <br />__ , <br />Date: � � <br />�-f - I � ` � �-- <br />