Please fill in the following work order
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Your Name
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Your Business
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Email
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Phone
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Cell
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Property
Leroy Oakes
WestTowne Market
First Street
Tyler & 64
1900 Tyler
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Description and Location of issue
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Has anything been done to remediate as of yet?
This has been addressed
This has not been addressed
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Priority Level
1 – Immediate Response
2 – Please address soon
3 – Please address at convenience
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Are you human?
3 + 1 =
