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Work Activity Work Order � � � ' <br /> , . � . , ; . .. <br /> ISSUCd Ry WMW WARD,MICHAEL W. <br /> Issued Depariment Pw PUBLIC WORKS <br /> Dale Issued 411112 0 0 7 <br /> Fund 4ot Account 5 Program »o Function tt9 .�ctivity fi�s <br /> Frogram <br /> Title REPAIR 3405 OELL AVF_ 710119675 <br /> WOfk �fdBf NC 2��7�3�0 PfOjCCI Activi�y Type COHR[C11VE �d�WTENANC[ S�.3W5 PR i <br /> Date ai�vzuo� Time �3:3c Original WO BilPng <br /> Customer Iniormation <br /> Customer Name Customer ld <br /> /lddress Sireet <br /> Apartment No ���Y <br /> State ZiP <br /> Subdivision Chanyr Map Y/N <br /> Piione No i ) - Ezt <br /> Second Phone 1 1 • Exl <br /> E-Mail Address <br /> Problem Intarmallon <br /> Address J465 Sireet BELL AVE <br /> From Cross Slreel <br /> To Cross Stree� <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requesled <br /> Agency Related Request <br /> Initiated From <br /> I Ulility Locate(USA)No Called Dale Expiralion Dale <br /> Assignmont Information <br /> Dep� Pnorily Eslima�ed Hours <br /> Crew <br /> Conlractor <br /> Assigned Tu <br /> Assigned By <br /> �ssigned Date To Be�omp Da�e <br /> Scheduled Dale Schedule� Time <br /> Route Route Sequence <br /> Comments <br /> AGion Taken , <br /> ��-�-�-�0�� y-�'�`��� �-- �� `�- <br />