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i:,sued By WMW <br />Issued Department PW <br />Date Issued 10/1-112005 <br />Fund 401 <br />Program <br />Work Activity Work Order <br />WARD, MICHAEL W. <br />PUBLIC WORKS <br />Page 1 <br />10/11/2005 15:21 <br />Accounts Program 710 Function 119 Activity 675 <br />Title REPAIR 4214 FEDERAL AVE 710119675 <br />Work Order No 20050947 Project Activity Type CORRECTIVE MAINTENANCE Status PR <br />Date 10/11/2005 Time15:16 Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) <br />Second Phone ( ) <br />E-Mail Address <br />Problem Information <br />Address 4214 <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 />Customer Id <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street FEDERAL AVE <br />Zip <br />Map Book <br />Called Date <br />Priority <br />To Be Comp Date <br />Change Map Y/N <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Estimated Hcurs <br />Scheduled Date Scheduled Time _ <br />Route Route Sequence <br />Comments <br />Action Taken <br />