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Work ,4ctivity Work Order <br />Page 1 <br />3/22/2012 10:48 <br />ISSUBd By HMP HALE, MICHAEL P. <br />Issued Department Pw PUBLIC WORKS <br />Datelssued antno�2 <br />Fund �za Account 5 Program eao Function toa Activity a�� <br />Program <br />TitlB SI�EWALK REPLACEAIENT 7621 EVERGREEN WAY <br />Work Order No 20120492 PfOJ2Cf Activity Type COP,RECTIVE MAINTENANCE S12fUS CL <br />Status snzi2oiz Time io:as Original WO Billing <br />Customer Information <br />Customer Name <br />Hddress <br />Apartment No <br />State <br />Subdivision <br />Phone No ( 1 - <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address 78p� <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date ____. ___ <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street EVERGREEN WAY <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken BILL TO DAVID SLIVINSKI <br />REGENCY CENTERS <br />PO BOX 790890 <br />SAN ANTONIO, TX 78279 <br />Recommended Ac:ion <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 />