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� � <br /> Work Activity Work Order Paqe � <br /> ISSU@d By -�---�yyMF —-- ----— 8/17/2005 9:08 <br /> MIELLMAN,MARK F. <br /> Issued Deparknent pW PUBLIC WORKS <br /> Dafe Issued ���yrzpps <br /> Fund �p� Account s Program »o Function ��y q�• <br /> Program �Y et3 <br /> TIUB REPAIR 2578 WETMORE AVE 7 7 01 7 9675 <br /> WOfI(OfdBf NO ZIIOSOG9B PfOjeC� NCIIIVIIy Ty�1B SERVICE REOUEST S�g(�8 � <br /> Date rnsrtoos Timeio:ts Original WO _ Billing <br /> ---- __ — - <br /> Custom�r Infortnatlon <br /> Customer Name ANLES,pREO Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map YM <br /> Phone No ( ) • Ext <br /> Second Phone ( ) - EM -- <br /> E-Mail Address RECQ t� <br /> Probl�m Information — Rs1.Ls_. _ ____ <br /> A dr ss 2518 Street yyETMOREAVE SEP 0 7 <br /> From Cross Street 2005 <br /> To Cross Street <br /> �ity Zip <br /> Problemf�n Map Book Map Reference <br /> WATER WATER <br /> Sub Problem <br /> AeB�CSted By HSR HOFFMAN,STEVEN R. D81B RBf�UBS�@d 7M6/2005 <br /> g Y Related Request ooaf�ls <br /> Initiated From INTER INTERNAL <br /> Utility Locate(USA)No Called Date Expiration Date <br /> Assipnment Infortnatlon <br /> Dept Pw PUBLIC WORKS PfI0f1 <br /> Crew h' Estimated Hours <br /> Contractor <br /> Assigned To WMF WELLMAN,MARK F. <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date _ __ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> ACtiOfl Tekell REPAIR LEAK ON OUR SIDE. <br /> Completed By wo� WEAVER,DEAN L. JOb COSf If1fORT18YlOf1(Y/N� <br /> Start Date i r Time Date Completed — <br /> Approved By 7nu2oo5 - — Time <br /> _ _ _ Follow Up? Pertnit No <br /> Problem Details <br /> - <br />