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Work Activity Work Order :a9� - <br /> . . . .._ _ ._ . . ._. .. <br /> 12;20/2005 8:26 <br /> ISSUBd By CAG CRUM,GERRY <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued tyterzoos <br /> Fund ao� Account s Program »o Function ��y Activity ssa <br /> Program <br /> TItlB SO 21NCH 7401 MERRILL CRK PKWY 710119664 <br /> WOfk Ofdef NO 20051147 PfOJBCt Activity Type CORRECTIVE MAINTENANCE St8f�5 pR <br /> Date iv�sizoos Timeoa:zs Original WO zoostt4z 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 ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �qp� Street MERRILL CREEK PKY <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 Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> A�signed To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments ��� <br /> Action Taken - <br /> �/7 <br />