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V►Jork Activity Work Grder <br />ISSUP.d 6y CAG CRUM, GERRY <br />Issued Department Pw PUBLIC WORKS <br />Dale Issued aizsizoo� <br />Fund 40� Accounl5 Program 7to Funclion »g Activily 675 <br />Program <br />Ti�l@ «[NEW 751NCH 1832 P.IADISOM Si 710179575 <br />WOfk Gfdef NO 2����25� PfOj2Cf Aclivity Type CORRECTIVE MAINTENANCE SletUS PR <br />Dale 3/26/2007 Time 07:ns Original WO 2o07o2ae Billing <br />Customer Informa[ion <br />Customer Name <br />Address <br />Apartmenl No <br />Slate <br />Subdivision <br />Phone No ( 1 <br />Second Phone ( 1 <br />[-Mail Address <br />Problem Information <br />Address 1832 <br />From Cross Street <br />To Cross Street <br />Cily <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 />Crew <br />Conlr,.clar <br />A:,signed To <br />Assigned By <br />Assigned �ate <br />Scheduled Dale <br />Rcute <br />Comments BILL JOB. <br />Pction Taken <br />Slreet <br />Ciry <br />Zip <br />Ext <br />Ext <br />Slrcet MADISON ST <br />Map Sook <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y!N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expirat�on Date <br />Priority Estimated Hours <br />