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Service Request <br />Request Inforrhation L/ <br />— — e <br />Request — — — No i Date Time <br />Recorded By <br />Billing Code <br />Customer Information <br />Customer Name <br />Address <br />City <br />Phone No <br />E-Mail Address <br />Problem Information <br />Address <br />Cross Street <br />City <br />Problem Details <br />Problem Code SGRFTI <br />Down Date <br />Apartment No <br />---------- <br />Zip <br />Ext Second .Phone <br />Status OP <br />F,xt <br />Down Time <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date <br />Time - <br />Left Date <br />Work Order No. <br />Comments <br />i <br />Left Time <br />L Date: <br />Completed By: <br />(name ..... rernpj-oyee #) <br />P:\TrafficOperations\TrafflcMaintenance\Graffiti\Graffiti Hold Harmless do . c <br />