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Service Request <br />Request Information <br />V <br />Request No <br />Date C, <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 <br />Ext <br />Second .Phone E <br />E-Mail Address <br />Problem Information <br />Address <br />Street <br />Cross Street <br />City <br />Problem Details <br />Problem Code SGRFT1 <br />Down Date <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date <br />Left Date <br />Work Order No. <br />Comments <br />Completed By: <br />Down <br />Left Time <br />N <br />Date: <br />(name ..... &employee U <br />P:\TrafficOperations\Traff,cMaintenanceNGraffiti\Graffiti Hold HannIess\SR—graffiti—v3.doc <br />