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Service Request <br />., ? -,:, <br />Request Information I iA I e , r - � 1 I : . <br />I V <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 />i n <br />Problem Code SGRFTI <br />Down Date I Down Time <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date Time <br />Left Date Left Time <br />Work Order No. <br />% <br />Comments <br />-4- <br />0/ <br />J _ <br />r <br />Completed By: Date: <br />(name ..... &employee U <br />P:\TrafficOperations\TrafficMaintenance\Graffiti\Graffiti Hold HanTdess\SR_graffifi_v3.doc <br />