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V�� 1 v• r�r..r.. <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />L (o-2A-5 <br />UTILITY WORK ORDER <br />Date: �,e WATER <br />�SERVICE <br />❑ SEWER <br />❑ MAIN <br />❑ STORM <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location:.- �[�s`"Z�IZ�f� <br />-c <br />W.C. InsIrt!ctions: <br />ESTIMATED <br />ACTUAL <br />i° 9072 <br />W.O. No. <br />Acct No. L7S <br />Complaint No. <br />t/ MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />Labor (hours) Labor (hours) <br />Material (cost) Material (cost) <br />Equipment (cost) Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): �2�-c7 d Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice <br />vas <br />Charge Cost To (Name): <br />mount:$_ <br />U <br />ate: <br />