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I <br />Work Activity Work Order <br />Page 1 <br />7/28/2005 10:51 <br />ISSUBdBY AGA AHLES,GREGORYA <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued uzslzoos <br />Fund qo� Account s Program �to Function t23 Activity s�t <br />Program <br />TIllB INSTALL 5130 NARBECK 710123671 � <br />Work Order No 20050437 ProjeCl ACtlVlfy Type CORRECT�VE MAINTENANCE SIefUS pR <br />Date ansizoos Timeoe:ta Original WO Biiling <br />Customer Information <br />Customer Name <br />Address 5130 S1fBB� NARBECK AVE <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( ) • Ext <br />Second Phone f ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 5130 Street NARBECKAVE <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem ORAIN DRAINAGE <br />Sub Problem CB'S ALL CB EXCEPT CLEAN <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No 5105350 Called Date an4lzoos <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />C�eWSCONST SEWERCONSTRUCTION(AHLES) <br />Contractor <br />Assigned To �� ARNOLD, ARTHUR L. <br />Assigned By AGA AHLES, GREGORY A. <br />Assigned Dale , To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <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 />Action Taken —_ _— /ti-s %�i+�../�— — �B- - - �tT__ <br />RECORDS <br />SEP 2 9 2005 <br />