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Work Activity Work Order ptl�� 1 <br /> 12/20/i005 10:55 <br /> ISSU2d By CAG CRUM,GERRV <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued tz/tw2oos <br /> Fund 4pi Account s Program �to Function »y Activity sw <br /> Program <br /> T1�10 S0 2 1NCH 1401 MERRILL CRK PKWY 710779664 <br /> Work Order No ���5��43 PfOj@Ct Activity Type CORRECTIVE MAINTENANCE StefUS pR <br /> Date �vtsnoos Timeo�:54 Oriyinal WO tiese Biliing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slreel <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No ( 1 • Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1401 Street MERRIL:. CREEKPKY <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 /> Assignmenf Information <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 Route Sequence <br /> Comments a9 <br /> Action Taken <br /> _ _ y� <br />