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��Q� � 4/io ✓t-Q� <br /> Work Activity Work Grder E'°�� 1 <br /> eiteizoos i-r:ii <br /> Issued By WMW WARD,MICHAEL W. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued ens�zoos <br /> Fund qp� Acwunt s Program »o Function ttg Activity 673 <br /> Program <br /> TitIQ REPAIR 3410 TERMINAL AVE 710119673 <br /> Work G�der No Z�050799 Project Activity Type CORRECTIVE h1AINTENANCE $�81U5 pR <br /> Date onenoos Timetr.oz Original WO Biiling <br /> Customcr Information <br /> Customer Name Customer ld <br /> Address Streel <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 3410 Street TERMINAL AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requesled <br /> Agency Reiated Request <br /> Initiated From <br /> Ulility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Fstimated Hours <br /> Crew <br /> Contractor <br /> Assigned To RECORDS <br /> Assigned By <br /> Assigned Date 7'o se comp �ate SEP 2 9 POOS <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments /� <br /> Action Taken I'—�-t�t4rlrP A.c�-cO __a,f'��,�.��� _.�YN.�.,,,..� �(�-� ��„� <br /> �-�� � ��- ,4.�1 '��,c..,�a�_�_�.�. � ��p cQ.�� <br /> �. e �.L��i / �„ cU,r� � �,-�.,,���_�+-�-��� --- - <br /> �7" " <br />