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A'I'rACHM~ "r: - REQ~ TO DORAl)US CORPORATION FOR ES~RGENCY <br /> SERVICE OF ~ P. EC~ECODER <br /> <br />Date requested: for cmergeacy ~erviec is made: <br /> <br />Entity makiag ~quest (Name of City or County): <br /> <br />N~ane of persog and title of person making request: <br /> <br />Name, title, t~lcpbone number and facsimile machine number of person Doradus should contact regarding this <br />request: <br /> <br />Name o;f person <br /> <br />Titl'e of person <br /> <br />Telephone number <br /> <br /> Facsimile (fax) machine number <br /> <br />Emergency servine is requested for the following unit: <br /> <br />Unit number <br /> <br />Cit3' m ~ch umt is iocatexl <br /> <br />Location bi un/t ~. <br /> <br />Description of problem with unit.. (Provide as much detail as possible): <br /> <br />2-ne telephone number of Domdu~ is (612) 572-1000 as of September l, 1994. <br />Doradus is (612) 5~2-3927 as of September 1, 1994. <br /> <br />The facsimile (fax) number of <br /> <br />Doradus acknowledges receipt of this request on <br /> <br />Name and title of Doradus personnel acknowledging receipt: <br /> <br />(~te) · <br /> <br /> <br />