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Service. Request <br />Request Information <br />Request No Date N 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 />Apartment No <br />Zip <br />Ext Second .Phone ( ) <br />Street <br />Ext <br />Down Time <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 />Time <br />Left Time <br />Comments <br />4 Date: <br />Completed By: <br />(name..... &employee #) <br />p:\ TrafficOperations \TrafficMaintenance\ Graffiti \Graffiti Hold Harmless\.SR graffiti_v3.doc <br />Status OP <br />