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Work Activity Work Order p39� 1 <br /> 9izoi2oo� io:aa <br /> ISSUBd By CAG CRUM,GERRY <br /> Issued Department <br /> Date Issued azai2oa <br /> Fund qot Account s Program ��o Function i�y Ac[ivity eca <br /> Program <br /> TItlB SO.75 INCH 77108 MERI�IAN PL W 710179664 <br /> Wark Order No 20040400 P�OJCCI Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br /> Date 4I2312004 TIfT10 : OfIJlf181 WO 11335 Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( > - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address __ __ __.__ —— <br /> Problem Informatfon <br /> Address f 1108 Street MERIDIAN PL W <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Informatfon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Schedided Date __ Scheduled Time _ _ <br /> Route Route Sequence <br /> Comments oursioe cirr <br /> Action Taken ---- — — <br />