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Work Activity Vlfork Order <br />� <br />Page 1 <br />6/7/2006 9:10 <br />ISS�Cd By CAG CRUM,GERRY <br />Issued Deparlmenl Pw PUBLIC WORKS <br />Date Issued 3narzoos <br />Fund 4a� Account 5 Program 7to �unclion t�g Activity ssa <br />Program <br />Tifle SO 1 INCH 1740 MADISON ST 710119664 <br />WO�k Ofdef NO z�O60z�z PfOjBCt ACflVlly TypB CORRECTIVE MAIN'!ENANCE St2W5 CL <br />Date snai2oos Time or.» Original WO ��s�s Billing <br />Customer Information <br />Customer Name HEILMAN <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) - <br />Second Fhone ( ) - <br />E-Mail Address <br />Problem Information <br />Address 1740 <br />From Cross Street <br />7o Cross Street <br />Ciry <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utiliry Locale (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Dale _ <br />Scheduled Dale <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street MADISON ST <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken METER IS IN FRONT OF G919 COLBY. <br />Customer ld <br />Change Map 'f/N <br />Zip <br />Map ReFerence <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority <br />Estimated Hours <br />Completed By KTJ KELSO, THOMAS J. AppfOVBd By <br />Start Date i / Time Date Completed snv2oos <br />Job Cost Information(Y/�l) Follow Up? Permit No <br />Problem Details <br />Time <br />�J <br />