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Work Activity Work Order <br />;�aqy ' <br />� <br />ISSl1Bd BY CAG CRUM, GERRY <br />Issued Departmen! Pw PUBLIC WORKS <br />Dale Issued sn�2oos <br />Fund qot Account 5 Program »o Funclion »g Aclivily fi�s <br />Program <br />T111C REPAIH Sf323 LOMDARD AVE 710119675 <br />lNOfk OfdBf NO 20000459 PfOjeCl ACflvlly TYPe CORRECTIVE PAAWTENANCE S��3(US CL <br />Dale ai2izooe Time �5:57 Original WO Billing <br />C:ustomer Information <br />Customer Name <br />Address Slreel <br />Apartment No Cify <br />Slale Zip <br />Subdivision <br />Phone No ( ) • Ext <br />Second Phone ( 1 - Ext <br />E-Mail Address <br />Problem Information <br />Address 5823 Street LOMBARD AVE <br />from Cross Slreet <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 />CfCW <br />COf1lf2ClOf <br />Assigned To <br />Assigned By <br />Map 800k <br />Called Date <br />Assigned Date Ta �e Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />ActlOn TdkCt1 REPLACED PACJOINT AT MAIN. <br />Cuslomer ld <br />Change Map '!/N <br />Zip <br />Map Reference <br />Dale Requested <br />Related Requesl <br />Expiration Date <br />Priority Eslima�ed Hours <br />Completed By Cr,c Caun4, GE�tzv Approved By <br />Start Dale i i Time Date Compieted 61612008 <br />Job Cost In(orm�4ion(Y/N) Follow Up? Permit No <br />Problem petails <br />Time <br />