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. .::' w; . . c1';� ' .. � / `�, <br />. _�, ��. <br />Work Activity Work Order Paqe � <br />. _-_ -----------.--------- 5/13/2005 10:14 <br />ISSUBd By A6A AHLEE, ORE60RY A. ------ -- -- ------�--- .. . . <br />Issued Department <br />Date Issued �t�noos <br />Fund �p� Account Typo � Progrem 7�o Function 109 Activity 67s <br />Job Cost No - - <br />Title ���E 251 B GRAND AVE 710109875 <br />WOfk OfdBf NO ZD��Z%9 pfp)@�� /�jyj(y TypB CORRECTIVE MAINTENANCE $fetUB CL <br />Date _ unnoos Time: Original WO Date Billing <br />Customar Infortnation <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 ys�g <br />From Cross Street <br />To Cross Street <br />ciy <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street GRAND AVE <br />Problem SEWER SEWER <br />Sub Problem SS SIDE SEWER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment In(ormation <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments REPAIR CAVE•IN. <br />Actiun Taken — - - -_ __ _ _ <br />Customer ld <br />Zip <br />Map Book <br />Called Date <br />Priority <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Change Map Y!N <br />Map Reference <br />Date Requested <br />Related Request <br />Expiratfon Dete <br />Estimated Hours <br />--�ECO�bs _ <br />--- __ _-- -- ---MAY-2-7 ?005 <br />