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Issued By CAc <br />Issued Department Pw <br />Date Issued s�zeizoo; <br />Fund aot <br />Program <br />Work Activity Work Order <br />CRUM,GERRY <br />PUBLIC WORKS <br />� <br />�:�a� � <br />iiiieizeo� .z:�_� <br />Accounl s Program »p Function »y Activity fisa <br />TIIIC SO 2 INCH 3722 RUCKER AVE 710719664 <br />Work Order No Z005�sZ� i�fOJCCI Activity Type CORRECTIVE MAINTENANCE S�BIUS CL <br />Date si2ei2oos Timeo�:59 Originai WO t�ssz Biiling <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No l I <br />Second Phone ( ) <br />E•Mail Address <br />Problem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <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 />Contractor <br />Assic�ned To <br />Assigned By <br />Assigned Dale <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken IN SIDEWALK NORTH OF STAIRS <br />Completed By Kr� <br />Start Date i <br />Approved By <br />KELSO,THOMASJ. <br />� Time <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Oate Requested <br />Related Request <br />Expiration Date <br />Priority Eslimated Hours <br />Job Costlnformation(Y/N) <br />Date Completed ione�zoos <br />Follow Up? Permit No <br />l'ime <br />Problem Details <br />� <br />