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Work Activity Work Order <br />� <br />Issued By CA� CRUM, GERRY <br />Issued Departmenl pw PUBLIC WORKS <br />Dale Issued snnoos <br />Fund aot Account 5 Program »o Function »y Activity s5y <br />Proc�ram <br />TIUC SO 751t�CH 82GE OEVERLY LANE #LOT 2 7101196W <br />Work Order No 2006��5Z PfOJBCI Activily Type CORRECTIVE h1NNTENANCE SlOIUS CL <br />Dale siv2oo5 Time tz te Original VVO t2oea Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No l 1 <br />Second Phone ( 1 <br />E-Mail Address <br />Problem �nformaHon <br />Address 8206 <br />From Cross Street <br />To Cross SUeet <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initialed From <br />UUlity Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Conlractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />ActiOfl T�kCll RF-2-1470G54647 <br />Sireet <br />Cily <br />Zip <br />Ext <br />Ext <br />Street BEVF_RLY LN <br />Map Book <br />Cailed Date <br />To Be Comp Date <br />Schedu'ed Time <br />Foute Sequence <br />Campleted By GTJ ��ALLhGHcR, THOMAS J. <br />Start Date i � Time <br />Job Cost Information(Y/N) <br />Problem Details <br />CusWmer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Dale Requested <br />Related Request <br />Expiration Date <br />Priorily Estimeted Hours <br />Approved By <br />Date Completed sivzooe <br />Foliow Up? Pennil No <br />Time <br />