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Service Request <br />Request Information - %'i <br />Request No Date - Time Status OP <br />Recorded By. <br />Billing Code <br />Customer Information -- - <br />Customer Name <br />Address Apartment No <br />City Zip <br />Phone No ( ) Ext Second .Phone ( ) Ext <br />E -Mail Address <br />Address Street <br />Cross Street <br />City <br />Problem Details A <br />r <br />Problem Code SGRFTI <br />Down Date <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date Time <br />Left Date Left Time <br />Work Order No. <br />Comments <br />Completed By: �- Date: <br />(name ..... &employee #) <br />P:\ TrafficOperations \TrafficMaintenance\ Graffiti \Graffiti Hold Harmless\SR graffiti v1doc <br />