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3 <br /> Work Activity Work Order :�3:� - <br /> 9/lv/2GOE 5:3: <br /> ISSU2d B)� CAG CRUM,GERRY <br /> Issued Department <br /> Dale Issued 3�zaizoos <br /> Fund eo� Account s Program »o Function ��y Activit <br /> Program Y s�s <br /> TIfIB RENEW.75INCH 203 SKYLINE ORIVE 710179675 <br /> Work Order No 2��503�8 PfOj2CI Activiry Type CORRECTIVE MAINTENANCE S�BfUS CL <br /> Date 3124/2005 Time : Original WO Billing <br /> Customer infortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State ZiP <br /> Subdivision Change Map Y/N <br /> Phone No 1 ) - Exl <br /> Second Phone 1 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 203 Street SKYLINEDR <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 Re uested <br /> Agency 4 <br /> Initiated From Related Request <br /> Utility Locate (USA)No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priorit <br /> Crew Y Estimated Hours <br /> Conlractor <br /> Assigned To <br /> Assigned By REC <br /> Assigned Date To Be Comp Date �RD� <br /> Route uled Date Sc�ieduled Time 5EP 2 3 2006 <br /> Roule Sequence <br /> Comments wo zooso�oa <br /> Action Taken <br />