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Service Request <br />Request Information <br />Request No TD <br />Time <br />Status OP <br />Recorded By <br />Billing Code <br />Customer Information,,;. <br />Customer Name <br />Apartment No <br />VAddress <br />E ) <br />Zip <br />e No ( Ext <br />Second Phone ( ) Ext <br />E-M ail Address <br />Problem Information <br />Address Street <br />Cross Street <br />Problem Details jr Y - C f 1 410 a' <br />t �, /a / - -3-S / 740 /d / - SA ? P <br />Problem Code SGRFTI <br />Down Date <br />Down Time <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date ` b <br />Left Date i D <br />Left Time /, , ./-,, -Z - <br />Work Order No. <br />Comments <br />° T" �i) e l5 <br />Completed By: - ::/f Date: = ` <br />(name ..... &employee #) <br />rime Z <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold Harmless \SR_ graffiti_ -doc <br />