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Work Activity Work Order `'"` ' <br /> 5/1/2f)�;7 1fi:31 <br /> ISSUOd By WMW WARD.MICNAEL W. <br /> Issued Department PW ruBut wortus <br /> Date Issued tzrt�noos <br /> Furxl �o� Account s Program »o Funclion ttg Activiry B�s <br /> Program <br /> T�� REPAIR 1314lLLDEN PL 710119675 <br /> WMk OfdCE NO �OS��6Z PfOJCCI ACflVlly TypE CORRECTIVE MAINTENANCE StefUS PR <br /> Date iv2v2oos Time �s:�a Originai WO 6i11in9 <br /> Customer infortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmen!No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No l 1 - Ext . <br /> Second Phone 1 ) • Ext <br /> -- --___ _. __ - <br /> E-Mail Address --- - ---- <br /> Problem Information <br /> Address 1314 S<<�� ALDEN PL <br /> From Cross Street <br /> To Cross Street <br /> C� Zip <br /> Subdivisbn Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Age�cy <br /> Related Requesl <br /> Initiated From <br /> Ulility Locate(USA)No Called Date Expiratio�Date <br /> Assignment Infortnation <br /> Dept Priority Estimated Hours <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 /> COT111¢flt3 INVENTORV MATERIAL IN THE AMOUNT OF f 122•78.WAS <br /> JOURNALIZED IN 2005 <br /> Action Taken SETTER INSTALLEO AT LOCATION SHOWN ON IDS. <br /> CompletedBy��Og,��,(1e���e� ApprovedBy--_ _-- ---- <br /> StaA Date � I Time _ _____ Date Completed � (� Time <br /> ----- - <br /> ��-�- - <br /> Job Cost Information(YIN) _ ___ Follow Up? _ Permit No ___ _._ <br /> Problem Details <br />