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Work Activity Work Order <br />Paoc 1 <br />J/?.0/2007 13:33 <br />ISSUCd BY WMW WARD, MICHAEL W. <br />Issued Depa�iment Pw PUBLIC WORKS <br />Date Issued 31zoi2oo� <br />Fund aot Account s Program �to Function tts Activity a�s <br />Program <br />TitlO REPAIR 9304 EVERGREEN W�Y 710119675 <br />WOfk OfdCE NO 20070239 Proj�Ct ACllvlly TyPO CORRECTIVE MAINTENANCE St2tU5 PR <br />Date si2onoo� Time ts:zs Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartmenl No <br />State <br />Subdivision <br />Phone Na ( ) <br />Second Phone ( ) <br />E-Mail Address <br />Problem Information <br />Address 93C4 <br />From Cross Slreet <br />To Cross Street <br />Ciry <br />Subdivision <br />Problem <br />Sub Problem <br />Requested Bv <br />Agency <br />!nitiated From <br />Utiliry Locate (USA) ;Jo <br />Assignment Informatio� <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 />Ciry <br />Zip <br />Ext <br />Ext <br />Street EVERGREENWAY <br />Map Boo�: <br />Called Date <br />To Be Comp Date <br />Sctieduled Time <br />Route Sequence <br />Customer ld <br />Zip <br />Priority <br />Change Map YlN <br />Map Reference <br />Da[e Requested <br />Related Request <br />Expiration Date <br />Estimated Hours <br />