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Work Activity Work Order <br />ISSUCd By WMW WARD, MICNAEL W. <br />Issucd Deparlmenit�w PUBLICWORKS <br />Date Issued anmzoo� <br />Fund ao� Account s Prograrn 7to Functian tt9 �clivily 675 <br />Progra r i <br />TitlC CONV[RT6572 WETAfORE �V[ 7f0119u75 <br />Work Order No 20070515 Projecl Acliviry Type CORR[CTN[ 1dNIJ7"EIJANC[ Status rR <br />Date cna�2uo� Time nrza Originai WO (3illing <br />Customer Information <br />Cuslomer Name <br />Address <br />Apartmenl Nc, <br />Slate <br />Subdivision <br />Phone No 1 ) <br />Second Phone 1 ) <br />[-Mail Address <br />Problem In(ormalion <br />Address �5�p <br />Prom Cross Slreel <br />To Cross Slreet <br />Cily <br />Subdivision <br />Problem <br />Sub Problem <br />Requested f3y <br />Agency <br />Initialed From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contraclor <br />Assigned To <br />Assigned [3y <br />Assigned Date <br />Scheduled Dale <br />R <br />Slrect <br />Cily <br />Zip <br />Ext <br />[xl <br />Slreel WETMORE AVE <br />Map Dook <br />Called Dale <br />To [3c Comp Date <br />Scheduled Time <br />R t S u <br />Customer ld <br />Changr h1ap Y/N <br />Zip <br />Map Reference <br />D2te Requested <br />Reiated Request <br />Expiration Date <br />Prioriry Estima�ed Hours <br />oule ou e eq ence <br />Comments �j �pC� �%� � /^ <br />ActionTaken '����,1,�� � �Y(�j ( � l `' ` .��(dl�� �A�/� <br />-� 37 � ��� �5/� �CJ���� � U J <br />