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Vilork Activity Work Order <br />p�r, 1 <br />. _ . :� <br />ISSUCd Dy WMW WARD, MICHAEL W. <br />Issued Departmentrw PUBUCWORKS <br />Date Issued aivzoos <br />Fund aoi 4ccount s Program s; Fundion >>� Activity e�s <br />Program <br />TillB REPAIR 3G05 EARL AVE 710119G75 <br />Work Order No Z��)$02�6 PfOJOCI ACli�lly TY�C CORRECTIV[ AIAINTENANCE $IBWS PR <br />Date •v2n000 Time ts:oe Original WO Billing <br />Customer Information <br />Cuslomer Name <br />Address <br />Apartmenl No <br />State <br />Subdivision <br />Phone No � 1 - <br />Second Phone l > - <br />E-Mail Address <br />Problem Information <br />Address 3605 <br />From Cress Strect <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requesled By <br />Agency <br />Initiated From <br />Utili�y Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Datc <br />Scheduled Date <br />Foule <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Slreel EARL AVE <br />Map Dook <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Roule Sequence <br />Customer ld <br />Change Map Y/N <br />Zip <br />A1ap Reference <br />Date Requested <br />Relaled Request <br />Ezpiration Date <br />Priorily Esli�ialed Hours <br />Comments n � /%` /, �,/�� � �� � ]� �dJ���� /J <br />AclionTaken `�� �`_ �G�t� (_ . �� �.lCn.c{ J ',�ti � l"j" -- �/ <br />"�'-��`-'�� °� _ _ -- . - — <br />3 <br />