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Work Activity Work Order <br />RECORDS <br />OCT 0 71005 <br />Paqe 1 <br />9/8/2005 15:46 <br />ISSu2d By WMW WARD, MICHAEL W. <br />Issued Department aw PUBLIC WORKS <br />Date Issued 9/8l2006 <br />Fund 401 Account a Program �to Function ��y Activity s�a <br />Program <br />TI�IB REPAIR 7915 HAMLET LANE 710119675 <br />WOfk Ofdef NO 2���8�Z ProjBCI Activiry Type CORRECTIVE MAINTENANCE S�8tU5 pq <br />CSate 9�e�2oos Time�s:t� Original WO Billina <br />Customer Infortnation <br />Customer Name <br />,4ddress <br />Apartment No <br />State <br />Subdivision <br />Phone No ( <br />Second Phone ( <br />E-Mail Address <br />Problem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assfgnment Information <br />DeFt <br />Crew <br />Contracbr <br />Assignzd To <br />Assigned By <br />Assigned Date <br />Scheduled Date _ <br />Route <br />Comment <br />Street <br />City <br />Zip <br />) - Ext <br />) - Ext <br />Street <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 />Priority Estimated Hours <br />s � �y�_ �y--���/J ,{� /%� <br />Action Taken -'�K-�L9��--=•'"�`s���-�P' � � / � �" �� /! �_ � � �/ � � _ <br />/� ,���_�� Z� <br />�'O'"'"xr�------ ----- <br />