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Work Activity Work Order � ���° ' <br />�zi��:/:ao�, ts:�s <br />ISSU2d By WMW WARD, MICHAEL W. <br />Issued DepartmenlPw pueuc woRKs <br />Date Issued tti�srzoos <br />Fund ao� Accounts Pioyram l�o Punction »y Aclivity 6�5 <br />Program <br />T111C' RGPAIR 4510 S 4TH AVE 710119675 <br />Work Order No 20051140 PfOJBC( Activity Type CORRECT�VE MAINTENANCE $f2lUS PR <br />Date �zn,rzocs Timei5:33 Original WO Billing <br />Customer Information <br />Cusromer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) <br />Second Phone f ) <br />E-Mail Address <br />Problem Information <br />Address 4510 <br />From Cross Street <br />To Cross Street <br />Ciry <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractoi <br />Assigned lb <br />Assigned f3y <br />Assigned Dat� <br />Schedul�d Date <br />Roule <br />Comments <br />Action Taken — <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street S 4TH AVE <br />Map E3ook <br />Called Date <br />� ? (3e ComE� Date <br />Scheduled Time <br />Route Sequence <br />Cuslomer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Dale Requested <br />Relaled Request <br />[xpiration Date <br />Priority Fstimated Heurs <br />