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��j <br />15SL'Ed fiy CAG <br />Issued Departmenl Pw <br />Dale Issued ai3�zoo� <br />Fund qp� <br />Program <br />Work Activity Work Order <br />CRUM17, GERRY <br />PUBLIC WORKS <br />Page 1 <br />9/3/2007 ?D:48 <br />Account 5 Program ��o Function »g Activity 6�s <br />T1�IP KILL 75 1NCH 9725 31ST AVE SE 710119675 I <br />Wnrk Order No 20 280 f fOJOCf Ac4ivity fype CORRECTNE MAWTENANCE SidiUS Pn <br />Date ni3�2oo� Time io:a� Original WO zoo�o2�e Billing <br />Customer Infarmation <br />Customer Name <br />Address <br />Aparlment No <br />Slale <br />Subdivision <br />Phone PJo ( ) - <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address 97Y5 <br />From Cross Slreet <br />To Cross Street <br />City <br />���hdivision <br />Problem <br />Sub Problem <br />Requesled By <br />Agency <br />Inilialed From <br />Ulility Locate (USA) No <br />Assignment Information <br />Depl <br />Crew <br />Conirector <br />Assigned To <br />Assignr.d By <br />Assigned Date <br />Scheduled Date <br />Route <br />Cumments BILL JOB tl3 <br />Action Taken <br />Street <br />Cil�, <br />Zip <br />Ext <br />Ext <br />Street 31ST AVE SE <br />Map Book <br />Called Date <br />To Be Comp Datr. <br />Scheduled 7ime <br />Route Sequence <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requesled <br />Related Requesl <br />Expiralion Date <br />Priority <br />��f�'�� <br />� �D� <br />Estimated Hours <br />