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Vllork Activ��y Vllork l�rder <br />Page 1 <br />7/15/2005 15:37 <br />ISSl1Cd By VYMF WELLMAN, MARK F. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 7HN2006 <br />Fund aot Account s Program »o Function tts Activity 876 <br />Program <br />Tltl@ REPAIF5721LOMBARDAVE710N9675 <br />Work Order No 20050695 Pro;ect Activity Type SERVICE REQUEST Status pR <br />Date �nanoo5 Time�o:t� Original WO Billing <br />Custamer Iniormation <br />Customer Name LONG, VINCE <br />Address S�y� <br />P�partment No <br />State <br />Subdivision <br />Phone No ( azs ) sa�-zsss <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address 57Y� <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />StfQBt LOMBARDAVE <br />City <br />Zip <br />Ext <br />Ext <br />Street LOMBARD AVE <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By ccw <br />Agency <br />Initiated From rueuc <br />Utility Locate (USA) No <br />Asstgnment Informatfon <br />Dept Pw PUBLIC WORKS <br />Crew <br />Contractor <br />Assigned To wMF <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Action Taken <br />Map Book <br />GRAVES, GARY W. <br />PUBLIC <br />Called Date <br />Customer ld <br />Change Map Y/N <br />R��1S. ± t�.7��� <br />SEP o � �oo� <br />Zip <br />Map Reference <br />Date Requested �I1M2oos <br />Related Request 000asse4 <br />Expiration Date <br />Priority Estimated Hours <br />WELLMAN, MARK F. <br />To Be Comp Date ��� s��/ <br />Scheduled Time <br />Route Sequence <br />�✓ % �/i�-/! /A..P � <br />