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Work Activity Work Order <br />Pa�e 1 <br />5/5/2co5 13:oz <br />ISSUCdBy AGA AHLES,GREGORYA. <br />Issued Department <br />Dale issued snai2ooa <br />Fund qo� Accounl5 Program 7to Function tos Aclivily s�� <br />Program <br />Title REPLACE 8901 W MALL DR 7101096T1 <br />WO�k Ofd@� NO 20040583 P�OJBCf Activity Type CORRECTIVE MAINTENANCE SfOIUS PP <br />Date snaizooa Time : Originai WO Billing <br />Customer Information <br />Customer Name <br />Address <br />F,parlmenl 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 />To Cross Slreet <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requesled By <br />Agenc, <br />Initiated From <br />Utilily Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contraclor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Schedul��d Date <br />Route <br />Comments REPLACE R&L <br />Action Taken <br />Street <br />Cily <br />Zip <br />Ext <br />Ext <br />Slreet W MALL DR <br />Map Book <br />Called Dats <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Cuslomer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Requesl <br />Expiration Date <br />Priority Estimaled Hours <br />