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Service Request <br />I Request Information <br />Problem Details 4 <br />Problem Code SGRFTI <br />Down Date <br />Down Time <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date Time <br />Left Date Left Time <br />Work Order No. <br />Comments <br />Date: <br />Completed By: <br />(name ..... &employee #) <br />P:\TrafficOperations\TrafftcMaintenance\Graffiti\Graffiti Hold Harniless\SR_graffiti_V3.doc <br />Request No <br />Status OP <br />Recorded By <br />Billing Code <br />Customer Information <br />2 <br />Customer Name <br />Address <br />Apartment No <br />City <br />Zip <br />Phone No Ext <br />Second Phone Ext <br />E-Mail Address <br />Problem Information <br />Address <br />Street <br />Cross Street <br />City <br />Problem Details 4 <br />Problem Code SGRFTI <br />Down Date <br />Down Time <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date Time <br />Left Date Left Time <br />Work Order No. <br />Comments <br />Date: <br />Completed By: <br />(name ..... &employee #) <br />P:\TrafficOperations\TrafftcMaintenance\Graffiti\Graffiti Hold Harniless\SR_graffiti_V3.doc <br />