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Work Activity Work Order P�gc 1 <br />. ._ _ 7/7/2006 15:3G <br />SSUOd By WMW WARD, MICHAEL W. <br />-- --- ----- ----- <br />Issued Department pw PUBLIC WORKS <br />Date Issued �nnoos <br />fund ao� Account e Program »o Function »9 Activity 675 <br />Program <br />Tltlf? REPAIR 1234 W MARIN[ VI[W DR 710119G75 <br />Work Order No 2�06���0 PfOf2C� Activiy Type CORRECTIVE MAINTENANCE $181US PR <br />Date �mzoos Time �s:z� Original WO Dilling <br />Customer Information <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivi,ion <br />Phone No ( 1 - <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address 1234 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Zequested By <br />Agency <br />Initiated From <br />Utility Locate (U:.4) No <br />Assignment Inforr iation <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Action Taken 7 ���' —� � - <br />�(„-r4 r_�� <br />Street <br />c�ry <br />Zip <br />Ext <br />Ext <br />Street yyMARINEVIEINDR <br />Map Book <br />Called Date <br />To Be Comp Dale <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Msp Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priorit� Estimated Hours <br />-r-� e�� �.Q c., ��- �,�.��.Q s�� n��� Gti,� <br />- (`'--- � - <br />