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�/ /�, n <br />,Clj� "" �'l-F �'� / "�3�CC."(p <br />Work Act�vity Work Ord�r <br />( ,�t�L�L2r <br />['nqc t <br />8/9/[OOG 13:�0 <br />ISSUC'd By WMW WARD, MICHAEL W. <br />Issued DepaRrrent Pw PUBLIC WORKS <br />Date Issued B19I2006 <br />Fund eot Account 5 Program �to Furiction >>y AcEvity s�s <br />Program <br />TIII@ REPLACE 6616 BERKSHIRG DR 71G119675 <br />Work Order No 20061305 PfOJBC1 Activity Type GORRECTIVE MAiNTENANCE Sf81U5 PR <br />Dale 8/9/2006 Time �a zs Original WO Billing <br />Customer Informalion <br />Customer Name <br />Address <br />Apariment No <br />State <br />Subdivision <br />Phone No l ) <br />Second Phane ( 1 <br />E-Mail Address <br />Problem Informatfon <br />Address 6616 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Hgency <br />Initiated From <br />Utility Locate (USA) No <br />Assfgnment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned dy <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Exl <br />Street gERKSHIRE DR <br />AcUon Ta�.en � LZ Y� r� <br />%`'�c <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />���/r� Ci� <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 />Sc'..- /J c C �i 7 G� /+� v�iLc.� oR— <br />