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� <br /> , r <br /> ..� f. <br /> Work Activity Work Order Pa9e � <br /> izisi,00r ii:z3 <br /> ISSued By CAG CRUM,GERRY <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued ai2onoo7 <br /> Fund aai Account s Program 7�o Function »g Activit� s�� <br /> Program <br /> TIflB TAP 8 INCH 6003 23RD DR W 710119673 <br /> Work Order No 20070340 PfOJBCI Activity Type CORRECTIVE MAINTENANCE S18tUS CL <br /> Date ai2onooi Time t3:ot Original WO zo�7o2se Billing <br /> Customer Information <br /> i.ustomer�'ame Customer ld <br /> Add�ess Street <br /> Aparlment No City <br /> State Zip <br /> Subdivision Chanoe Map Y!N <br /> Phone No l 1 - Ext <br /> Second Phone � ) - Ext <br /> E-Mail Address <br /> Problem fnformation <br /> Address 6003 Streel y3RD DR W <br /> From Cross Streel <br /> To Cross Street <br /> City Zip <br /> Subdivision Map 800k Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Cate Raquested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locale (USA) No Called Cale Expirati�n Date <br /> Assignment Information <br /> Dep, Priority Estimated Hours <br /> Crew <br /> Contrector <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments BILL JOB#3 <br /> Action Taken <br />