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� <br /> '� � � �' <br /> Work Activity Work Order nd°P ' <br /> ei�si�;,o; �c:�c <br /> ISSUBd By CAG CRUM,GFRRY <br /> Issued Department pw pUBLIC WORKS <br /> Uate Issued srzor2ooe <br /> Fund aot Accuunt 5 Program »o Function t�e Activity bsq <br /> Program <br /> TIIIB SO 21NCH 1401 MERRILL CREEK PKWV#1 710119664 <br /> WOfk OfdCE NO 2��6�660 PfOJ@C� Activity Type CORRECTIVE MAINTENANCE Ste�US CL <br /> Date 3izoizoos Time ta:ss Original WO zoosi�so Biiling <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Stale Zip <br /> Subdivision Change Map Y!N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 140f Street MERR(LL CREEK PKY <br /> From Cross Street <br /> To Cross Streel <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 Iniormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route <br /> Comments INVENTORY MATERIAL IN THE AMOUNT OF 5179.30 WAS JOURNALIZED <br /> IN 2006 <br /> Aclion Taken <br /> z�4 <br />