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Work Activity Work Order <br />e,�� � <br />G/23/2006 7:29 <br />Issued By WMW WARD, MICHAEL W. <br />Issued Department Pw PUBLIC WORKS <br />Dale Issued 6/23/2006 <br />Fund qoi Account s Program �io Function »y Activity s�s <br />Program <br />Ti11e REPAIR 1509 llTH ST 710119675 <br />Work Order No 20061113 PfOfEC1 Activity l'ype CORR[CTIV[ �dAINTENANCE $�8f11S PR <br />Date �i2s2ooe Time orzi Oriyinal WO Billing <br />Customer Information <br />Customer Name <br />Hddress <br />ApartmentNo <br />State <br />Subdivision <br />Phone No ( 1 <br />Second Pfione 1 ) <br />[-Mail Address <br />Problem Information <br />Address 1509 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Streel <br />City <br />z�� <br />Ext <br />Ext <br />Streel 17TH ST <br />Map Book <br />Called Date <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Roule Route Sequence <br />Comments <br />Action Taken % < <- " C���� f ��-�._ <br />11` <br />�'�` `�j �� _� /�' <br />Customer ld <br />Change Map Y/N <br />Lip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />—1�z'� G—y3-.c��. <br />�� - - _ _ <br />� -- - - --- _ <br />