Service Request <br />Request Information <br />Request No <br />Recorded By <br />Billing Code <br />Customer Information <br />Customer Name <br />Address <br />City <br />Phone No ( ) <br />E -Mail Address <br />Date Time <br />Ext <br />Apartment No <br />Zip <br />Second Phone <br />Status OP <br />Ext <br />Problem Information <br />Address Street <br />Cross Street <br />City <br />v <br />Problem Details <br />r <br />Problem Code SGRFTI <br />D Down Time <br />Down Date <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date � <br />Time:% <br />C` <br />Left Date Left Time / <br />Work Order No. <br />Comments <br />Date: <br />Completed By: <br />(name ..... &employee #) <br />P:\ TraffscOperations \TraffscMaintenance \Graffiti \Graffiti Hold Harmless \SR_9raffiti_v3.doc <br />