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BILL JOB � <br />Work Activity Work Qrder � "° ' <br />zc��5 �+:15 <br />Issued By WMW WARD, MICHAEL W. <br />Issued Deparlment Pw PUBLIC WORKS <br />Date Issued ei2z�zoo� <br />Fund ao� Accounl5 Program »o Function �ts Aclivity G75 <br />Program GVcrRF�'� `'�'�j' <br />T1110 R[PAIR 6920"�n$F'i2D 710119675 <br />Work Order No Z�090��� �fOfCCI Activity Type CORRECTIVE AtAINTENANCE Sf0lU5 CL <br />Stalus 6122R009 Time ta:az Original WO Billinc� <br />Customer Information <br />Cuslomer Name <br />Address <br />Aparlment No <br />State <br />Subdivision <br />Phone No ( � <br />Second Phone l ) <br />E-Mail Address <br />Pro�lem Information <br />Address 6920 <br />From Cross Streel <br />To Cross Streel <br />Ciry <br />Subdivision <br />Problem <br />Sub Problem <br />Requested E3y <br />Ac�ency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Infonnation <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />As�igned Date Tu Be Cornp Date <br />Scheduled Dale Scheduled Time <br />Route Route Sequence <br />Comments BILL JOD. COST ESTIMAT[ <br />SlfePl <br />Ciry <br />Zip <br />Ext <br />Ext <br />Slreel E CADY RD <br />Map Book <br />Called Date <br />Customer ld <br />Change htap 17f1 <br />Zip <br />R4ap Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken PUT NEW BOX IN. RAISLD TO GRA[7E. SMALL MOLO[D ElOX AODED 7" RESETTER. <br />Recommended Action <br />�\pproved Ey KTJ K[L50. THOMAS J. <br />S1art Date i i Time <br />Completed By <br />Job Cost Information(Y/N) <br />Date Completed 612612009 <br />Time Follow Up? <br />Permit No <br />��3 <br />