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SbV�tz�C3- /�.7 � <br />Work Activity Work Order <br />3 <br />Page 1 <br />y��4��ooE a:�� <br />ISSUOd BY AGA qHLES, GREGORY A. <br />Issued Department <br />Date Issued 6N4I2004 <br />Fund aoi Account s Program »o Function tos Activiry a�t <br />Program <br />TI110 REPLACE 8907 W D.!r�LL DR 710109677 <br />Work Order No 20040583 PfOJOCI Activity Type CORRECTIVE MAINTENANCE Sl9�US CL <br />Date 6/14/2004 Tirne : O-�ginal WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) - <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address 8901 <br />From Cross Street <br />Ta Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Iniliated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments REPLACE R8L <br />Aclion Taken <br />Street <br />Cily <br />Zip <br />Ext <br />Exl <br />Street yyMALLOR <br />Map Book <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 />Expiration Date <br />Priorily Estimated Hours <br />RECORDS <br />SEP 2 3 2�i <br />