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Request Information <br />Request No oollsozs <br />Recorded By HMP <br />Billing Code <br />Customer Information <br />Customer Name HUSBY, LANCE <br />Address <br />Service Request <br />Date 311912o13 Time 16:31 <br />HALE, MICHAEL P. <br />Apartment No City <br />Phone No ( ) Ext <br />E-Mail Address <br />Problem Information <br />Address 3a�a Street 1srH sr <br />From Cross Street <br />Initiated From INTER INTERNAL <br />Status c� <br />Customer ld <br />Zip <br />Second Phone ( ) <br />To Cross Street <br />City Subdivision <br />Problem Details REPLACE ASPHALT IS STREET AFTER UTILI'Y WORK IS COP�IPLETE. <br />Problem STREET STREETS <br />Sub Problem ASPH ASPHALT <br />Down Date Down Ti� <br />Assignment Inforrnation <br />Assigned To HMP <br />Responded Date s12112013 Resp <br />Left Date <br />Work Order No. zooz�a9� <br />Action Taken REPLACEDASPHALT. <br />20130611 <br />Completed By: KDJ KNORR, DCU <br />Logged By HMP H.4LE, MICHP <br />, <br />�V r`�l �� <br />3%� � <br />paa� � <br />3/<:_r�i-�_'_6:32 <br />Ext <br />�� <br />�A���,,; �. 5 ,� <br />