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Service Request <br />Request Information <br />Request No H0��1P7103 Date 211 412 0 1 3 Time 16:16 <br />Recorded By HALE, MICHAEL P. <br />Billing Code <br />Customer Information <br />CUSt017iB! N2f112 CAVANAH, SHANE <br />Address <br />Apartment No City <br />Phone No ( ) Ext <br />E-Mail Address <br />Problem Information <br />AC1dfBSS 730 Slf22t 95TH PL SE <br />From Cross Street <br />t d From IN1ER INTERNAL <br />Status c� <br />Customer ld <br />Zip <br />Second Phone ( ) <br />To Cross Street <br />IniUa e <br />City Subdivision <br />Problem Details REPLACE ASPHALT AFTER U71lITY WORK IS COMPLETE. <br />Problem STREET STREETS <br />Sub Problem ASPH ASPHALT <br />Down Date Down Time <br />Assignment Information <br />Assigned To HMP <br />Responded Date 2nsi2ot? <br />Left Date <br />Work Order No. 20021491 <br />Action Taken REPI.ACED ASPHALT. <br />201:1UJ44 <br />HALE, MICHAEL P. <br />Responded Time <br />Left Time <br />Completed By: K�� KNORR,DOUGJ. Date: 211512C19 <br />Logged By HMP HALE, MICHAEI P. <br />Ext <br />