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Issued By CAG <br />Issued Departmenl Pw <br />Date Issued an5rzoos <br />Fund aot <br />Program <br />Work Activity Work Order <br />CRUM,GERRY <br />PUBLIC WORKS <br />� <br />E'age 1 <br />11/18/2005 12:51 <br />Account s Program ��o Function tts Activity e5a <br />Tille SO 2 INCH 3716 RUCKER AVE 71011966a <br />Work Order No ZOOSO%S9 PfOJECI Activity Type CORRECTIVE MAINTENANCE Sf8W5 CL <br />Date ensizoos Timeoa:�s Original WO ims Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) - <br />Second Phone ( ) - <br />E•Mail Address <br />Problem IniormaHon <br />Address 3716 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Prablem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assi9ned Datc <br />Scheduletl Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Str�et RUCKER AVE <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken 2' � OF L IN SIDEWALK IN FRONT OF BUILDING <br />Completed By Kr� <br />Start Date � <br />Approved By <br />KELSO, THOMAS J. <br />i Time <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requesled <br />Reiated Request <br />Expiration Date <br />Priorty Estimaled Hours <br />Job Costlnformation(Y/N) <br />Date Compieted �one�zoos <br />Follow Up? Permit No <br />Time <br />Problem Details g� <br />-1�{ <br />