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Work Activity Work Order <br />Page � <br />10/28/2011 16:19 <br />ISSUed By SRA SORGEN, R48ERT A. <br />Issued Department Pw PUBLIC WOR�SS <br />Date Issued �oizsi2ott <br />Fund tzo Account 5 Program eao Function toe Activity sti <br />Program <br />Title SIDEWALK REPLACEMENT 972 RUCKER �40108671 <br />WOfk OfdOf NO Z���2459 PfOJBC� Activity Type CORRECTIVE MAINTENANCE St8lU5 CL <br />Status torza�zoti Time >oe OriginalWO Billing <br />Customer Information <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No � > - <br />Second Phone ( 1 - <br />E-Mail Address <br />Problem Information <br />Address g12 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />A3ency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Depl <br />Crew <br />Contractor <br />i,ssigned To <br />Assigned By <br />Assigned Date <br />Scheduled Uate <br />Route <br />Comments <br />Action Taken <br />Slreet <br />Ciry <br />Zip <br />Ext <br />Ext <br />Street RUCKER AVE <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />