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Work Activity Work Order � � � � <br /> , , , . . � . . <br /> Issued By WMW WARD,MICHAEL W. <br /> Issued Departmenl pw pUBLIC WORKS <br /> Date Issued tantr2ooe <br /> Fund aui Accounl5 Program �io Funclion i�y Aclivity 675 <br /> Program <br /> TIIIC CONVER7 1G22 PALA7 AVE 710119675 <br /> WOfk �fdCf�lq 20061493 PfOJCC� Activity Type CORRECTIVE 1.1AINTENANCE $121US PR <br /> Date io ivzooc Time �3m Onginal W0 Billing <br /> Customcr Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmenl No ���y <br /> state Z;p <br /> Subdivision Change Map Y/N <br /> Phone No 1 1 - Ext <br /> Second Phone ( 1 - Ext <br /> E-A1ail Address <br /> Problem Information <br /> Address �spZ S�ree� pALMAVE <br /> From Cross Street <br /> To Cross Streel <br /> City ZiP . <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requesled Dy Dale Requcsled <br /> Agency Related Request <br /> Initiated From <br /> Utildy Loca�e(USA)No Called Date Expiration Dale <br /> Assignment Information <br /> Dept Pnority Estimated Hours <br /> Crew <br /> Conlractor <br /> A;signed To <br /> �ssigned By <br /> Assigned Dale To De Comp Dale <br /> Scheduled Dale Scheduled Time <br /> Roule Route Sequence <br /> Commenls !� <br /> Action Taken /- ('��R-e��µ�� v-h -�D S ��y-� ��7�55 ,� t s <br />