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Comments <br />r� Date: <br />Completed By: <br />(name ..... &employee #) <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold Harm1ess \SR_graffiti_v3.doc <br />Service Request <br />Request Information <br />+- t, � V <br />Request No Date <br />Time Status OP <br />Recorded By <br />Billing Code <br />Customer Information <br />Customer Name <br />Apartment No <br />Address <br />Zip <br />City <br />Ext <br />Ext Second Phone ( ) <br />Phone No ( ) <br />E -Mail Address <br />Problem Information <br />Address <br />Street <br />Cross Street <br />City <br />Problem Details <br />tl <br />SGRFTI <br />EnD Code <br />Down Time <br />ate <br />E <br />ment Information <br />ed To Randal Dale <br />ded Date <br />rn <br />Time <br />Left Time <br />ate <br />Order No. <br />Comments <br />r� Date: <br />Completed By: <br />(name ..... &employee #) <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold Harm1ess \SR_graffiti_v3.doc <br />