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Maintenance/Custodial Work Request
Date Time
MM
/
DD
/
YYYY
Requesting Party:
First
Last
Location
*
New Jerusalem Elementary School
DCHS
DK8
DCO/Keys
Building/Room #
*
Description of work/repair:
Requested Priority:
High - Must be done within 24 hours.
Medium - Within the week.
Low - When you get a chance
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