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MAINTENANCE REQUEST DATE RESIDENT ADDRESS/ UNIT NO. WORK TO BE PERFORMED PHONE NO. REQUEST TAKEN BY DATE /TIME FOR COMPLETION ADDITIONAL ITEMS NECESSARY PERMISSION TO ENTER IF UNOCCUPIED? YES NO ADDITIONAL ITEMIZED CHARGES TIME STARTED WORK COMPLETED BY TIME FINISHED TOTAL JOB TIME DATE COMPLETED MAINTENANCE REQUEST DATE RESIDENT ADDRESS/ UNIT NO. WORK TO BE PERFORMED PHONE NO. REQUEST TAKEN BY DATE /TIME FOR COMPLETION ADDITIONAL ITEMS NECESSARY PERMISSION TO ENTER IF UNOCCUPIED? YES NO ADDITIONAL ITEMIZED CHARGES TIME STARTED WORK COMPLETED BY TIME FINISHED TOTAL JOB TIME DATE COMPLETED American LegalNet, Inc. www.FormsWorkFlow.com 2001 © American LegalNet, Inc.