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ISSU2d By CAG <br />Issued Department Pw <br />Date Issued 312412006 <br />Fund ao� <br />Program <br />�STJi�f�/S% Cj�,�� <br />Work Activity Work Order <br />CRUM,GERRY <br />PUBLIC WORKS <br />Account s Program »o Function i�y <br />Page 1 <br />3/24/2006 12:42 <br />ACiiVlty 66! <br />Tltle SO6INCH FIRE 7616 PACIFIC AVE 710119664 <br />WOfk Ofd2f NO 20060831 PfOJOCt ACtivify TyPB CORRECTIVE MAINTENRNCE StBtUS PR <br />Date 3i2nizoos Time�z3a OriginalWO sones9 Billing <br />Customer Iniormation <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No ( <br />Second Phone ( <br />E-Mail Address <br />Problem InFormation <br />Address 1616 <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 />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Roule <br />Comments <br />Aclion Taken <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street pqCIF/C AVE <br />Called Dale <br />To Be Comp Dale <br />Schedule� 'ime <br />Roule Sequence <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiralion Date <br />Priority Estimated Hours <br />_ , ?v����� <br />- �������-� <br />_ W/��. 3� � ��f9 <br />32� �i WGi�?t��?� <br />3�- Si <br />b/ <br />� 5 p N�. �� � <br />