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Work Activity Work Order <br />ISSU2d By SRA SORGEN, ROBERT A. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 12/29/2015 <br />Fund �2o Account 5 Program a4o <br />Program <br />Tltle SIDEWALK REPLACEMENT - 2332 BAKER �}N � <br />Function �os <br />w���:�. ���� <br />Page 1 <br />9/13/2016 10:13 <br />Activity s�� <br />Work Order No 20162156 Project Activity Type CORRECTIVE MAINTENANCE <br />Status 9/13/2016 Time os:zo Oriqinal WO Billing <br />Customer Information <br />Customer Name <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address Street <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Map Book <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken BILL TO: ANITA ANTL C/O LORETTA ROOT <br />19651 N RIM DR <br />SURPRISE, AZ 85374 <br />(623)537-9323 <br />Recoma��nded Action <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Status c� <br />