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- v. � . v• ��r���. . <br /> �.�� a ^� . . . Iiao <br /> . DEPARTMENT OF PUBLIC WORKS •�— �=— <br /> �C ,-JMMS �ac� <br /> UTIUTIES DIVISION <br /> W.O. No. <br /> . c 1 1 Z� — � Acct No. (_ 7 5 1►� <br /> .J 1 1 <br /> UTILITY WORK ORDER Compiaint Na • <br /> Date: �' ' � � WqTER � SERVICE ❑ MAINTENAWCE <br /> ❑ SEWER ❑ MAIN ❑ OPERAT(ON <br /> ❑ STORM O PUMP STATION ,�' REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> . ❑ MAN HOLE <br /> O CATCH BASIN <br /> ❑ DITCH <br /> Location: �.5�►� �6/�5����,(,���b�eF <br /> W.O. Instructions: Q��L/� .g•�1[�f� <br /> ESTIMATED ACTUAL � <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment(cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR Til`.�1� SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �y���� <br /> _�� —� <br /> Completion (Date): '�� 2 7�� Cost$ <br /> Charge Account Number. Charge Cost To(Name�: <br /> Address: Z�p; <br /> lnvoice No.: _Amount:5 Date: <br /> vea <br />