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3 <br /> Work Activity Work Order �d9° I <br /> 9/14/200ti 9:35 <br /> ISSUCd By CAG CRUM,GERRY <br /> Issued Department <br /> Date Issued 3n4noos <br /> Fund aot Account s Program »o Funclion »y Activity s�s <br /> Program <br /> TiIIE RENEW.75INCH 216 BRIDGE WAY 710119675 <br /> WO�k OfdCE NO 20050314 PfOjBCt AC�1Vity TypB CORRECTIVE MAINTENANCE S�8tU5 CL <br /> Date 3/24/2005 Time : Originai WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Cily <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Exl <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address y�g Streel BRIDGEWAY <br /> From Cross Slreet <br /> To Cross Street <br /> Cily Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Reiated Request <br /> Initiated From <br /> Ulility Locate(USA) No Called Date Expiration Dale <br /> Assfgnment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assic�ned To <br /> Assic�ned By RECORDS <br /> A�signed Date To Be Comp Date <br /> Scheduied Date scheduled Time SEP 2 3 yppg <br /> Roule Route Sequence <br /> Comnents wo zooso�oa <br /> Action Taken <br />