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9 <br />Issued By CAG <br />Issued Department <br />Date Issued 12120/2004 <br />Fund 401 <br />Program <br />Work Activity Work Order <br />CRUM,GERRY <br />Page 1 <br />6/10/2005 10:04 <br />Accounts Program 710 Function 119 Activity 664 <br />Title SO .751NCH 3431 NASSAU ST 710119664 <br />Work Order No 20041054 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br />Date 122012004 Time: Original WO 11512 Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( 1 <br />Second Phone <br />E-Mail Address <br />Problem Information <br />Address 3431 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initialed From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Dale <br />Scheduled Dale <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Exl <br />Ext <br />Street NASSAU ST <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer Id <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 NORTH SIDE OF DRIVEWAY. 1 RIGHT OF LEFT AND B5' OUT. <br />Completed By WDL WEAVER, DEAN L. Job Cost Information(Y/N) <br />Start Date I I Time Date Completed 5127/2005 Time <br />Approved By Follow Up? Permit No <br />Problem Details 7� <br />/.s <br />