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� ��(u �uzc�1-�� ✓19+UuU ;�C � <br /> Work Activity Work Order ��"3c 1 <br /> 4/7n/2006 7:19 <br /> ISSUed By WMW WARD,MICHAEL W. <br /> Issued Department rw PUBLIC WORKS <br /> Dale Issued 4I2512006 <br /> Fund ao� Account s Program »o Function �iy Activity e�s <br /> Program <br /> TIflB RHPLACE 2720 RUCK[R AVE 710119W5 <br /> WOfk OfdBf NO ZDOSO9�g PfOJBCI Aclivity Type CORRECTIVE M�WTENANCE S101�5 pR <br /> �ate 4/26200G Timeozie Original WO Billing <br /> Customer Iniormation <br /> Customer Name Customer ld <br /> Address Sireet <br /> Apartmenl No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No 1 1 • Ext <br /> Second Phone 1 ) - Exl <br /> E-Mail Address <br /> Problem Information <br /> Address P7yp Street RUCKER AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Prablem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Requesf <br /> Initialed From <br /> Ulility Locate(USA) No Called Date [xpiration Dale <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assianed To <br /> Assigned By <br /> .4ssigned Dale To De Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments /�///J �,L / - I /� ' <br /> Action Taken ���t�C9/� �-v-"w�nt.�'T�—�`-�I- �L'k-'n�--'�-�.-'- -_`--- <br />