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Service Request . . _ <br /> Request Information <br /> Request No oot2tsse Date T12612011 Time to:3� Status woc <br /> Recorded By HSR HOFFMAN,STEVEN R. <br /> Billing Code <br /> Customer Information <br /> Customer Name DILTS,EUNiCE Customer ld <br /> Address <br /> Apartment No City Lip <br /> Phone No (a25 ) 355•456J Ext Second Phone ( � Ext <br /> E-Mail Address <br /> Problem Information <br /> Address e2t Street 109TH ST SE <br /> From Cross Street To Cross Street <br /> Initiated From PUBLIC PUBLIC <br /> City Subdivision <br /> Problem Details PLEASE CHECK FOR LEAK DUE TO EVIDENCE OF WATER IN THE STREET FOR SEVERAL <br /> DAYS.LEAK ON Bt4109TH ST SE. <br /> Problem WATER INATER <br /> Sub Pfoblem LEAK LEAK <br /> Down Date Down Time <br /> Assignment Information <br /> Assigned To CSG CAVANAH, SHANE G. <br /> Responded Date ResF�nded Time <br /> Left Date Left Time <br /> Work Order No, 2at3ts39 <br /> Action Taken <br /> Completed By. Date � � <br /> Logged By <br />