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Work Activity Work Order F°�e 1 <br /> sieizooc is:3a <br /> ISSUed By WMW WARD,MICHAEL W. <br /> Issued Department aw PUBLIC WORKS <br /> Date Iss��d sierzoos <br /> Fund qo� Accounl s Program �to Function t�e Activity e�s <br /> Program <br /> TIllO REPAIR 2307 VJETMORE AVB 710119675 <br /> WO�k Ofd'�f NO ZOOGO994 PfOJBCI Activiry Type CORRECTIVE MAINTENANCE SlBIUS PR <br /> Date 518I200u Time�s:z9 Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address SUeet <br /> Apartment No City <br /> Slate Z�P <br /> Subdivision Change Aiap Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 • Ext <br /> [-Mail Address <br /> Problem Information <br /> Address Y3p7 Streel yyETMORE AVE <br /> From Cross Street <br /> To Cross Streel <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Ulility Locate (USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Dept Priority Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Dale Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLUMBED TO PROPER GRAOE.NO RESETTER AVAILABLE FOR 112"SERVICE. <br /> 5125 DEPOSIT dY UMESH PRASAO ON RECIEPT#188734 <br /> Compleled By Job Cost Information(Y/N) _ <br /> Start Date � i Time Date Compieted � � Time <br /> Ppproved 8y Follow Up? _ Permit No __ <br />