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Service Request <br />Rnnnnct Infnrmatinn <br />City <br />Problem Details <br />- .. / v /— /s7%4, —ls <br />Problem Code SGRFTi <br />Down Date <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date <br />Left Date <br />Work Order No. <br />Comments <br />Time <br />Left Time <br />Completed By: <br />(name..... &employee #) <br />Doom Time <br />Date: 2 > e.) --6 �;" <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold Ham- dess\SR_graffiti_vIdoc <br />Request No <br />Date <br />Time <br />Status OP <br />Recorded By <br />Billing Code <br />Customer Information <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 <br />- .. / v /— /s7%4, —ls <br />Problem Code SGRFTi <br />Down Date <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date <br />Left Date <br />Work Order No. <br />Comments <br />Time <br />Left Time <br />Completed By: <br />(name..... &employee #) <br />Doom Time <br />Date: 2 > e.) --6 �;" <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold Ham- dess\SR_graffiti_vIdoc <br />