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� <br /> BILL JOB <br /> Work Activity Work Order " <br /> a -� � - <br /> ISSl1Cd (3Y WMW WARD,MICHAEL W. <br /> Issued Deparlment rw PUBLIC WORKS <br /> Date Issued snenooe <br /> Fund aot Account s Program 7�o Function »s Activiry 6�� <br /> Program <br /> TIUC TAP 6�NCH 2537 COLBY AVE 770119673 <br /> WOfk OfdCE NO 20090651 Projecl Activity Type CORRECTIVE MAINTENANCE SIBIUS CL <br /> Status s�2ai2ooe Time �too Original WO zooeo�se Billing <br /> Customer Information <br /> Cuslomer Name Cuslomer ld <br /> Address Street <br /> Apartment No City <br /> Sta;e Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( > • Exl <br /> Second Phone ( 1 • Exl <br /> E Mail Address <br /> Problem Information <br /> Address Y831 Stmet COLBYAVE <br /> From Cross Slreel <br /> To Cross Streel <br /> Ci1y Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> �gency Related Requesl <br /> Inilialed From <br /> Ulility Locate (USA)No Called Date Expiralion Dale <br /> Assignment Informalion <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assignr,d To <br /> Assigned By <br /> Assigned Date To Be Comp Dale <br /> Scheduled Dale Scheduied Time <br /> Route Route Sequence <br /> Comments COST[STIMATE <br /> Aclion Taken <br /> l� <br />