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� <br />� <br />Work Activity Wark Order <br />ISSUed By TDE1 ;HOMPSON, DWAYNE E. <br />Issued D�partment Pw PUBLIC WORKS <br />Date Issued menoo� <br />Fund qo� Accoun[s Program �to Function it� Activity ers <br />Program <br />TitlC REPAIR 7; INCH 503 LEGION DR 710119d7; <br />Work Order No 200f0116 Project Activity lype r,oaiiecrrve r.u.ir�rrr��:vc� Slatus c� <br />Date �ne�zoa� Time is:sz Original WO zoo�o��e 6dling <br />Customer Information <br />Cuslomer Name <br />Address <br />Apartment �o <br />State <br />Subdivision <br />Phone No ( > - <br />Second Phone ( 1 - <br />E-Ntail Address <br />Problem Information <br />Address 503 <br />From Cross Street <br />To Cross Slreet <br />City <br />Subdivision <br />Protilem <br />Sub Problem <br />Requesled By <br />Agency <br />Initiated From <br />Utiliry Locale (USA) No <br />Assignme�t Information <br />Cept <br />Cretv <br />Cor,tractor <br />Assigned To <br />Assigned By <br />Assigned Dale <br />Scheduled Dale <br />Route <br />Comments <br />Aclion Taken <br />Strcet <br />CI�y <br />Zip <br />Exl <br />Ext <br />Strcel LEGION DR <br />Map Book <br />Called Date <br />i o Be Comp Date <br />Scheduled Time <br />Roule Sequenr.e <br />Custorner ld <br />Change Map Y/N <br />Zip <br />hlap Reference <br />Date Requcsted <br />Related Request <br />Expiration Date <br />Priority [slimated Hours <br />