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.� ( <br />Work Activity Wark Order �'��� ' <br />_ . ,:: ���-� E:o�, <br />ISSUBd BY CAG CRUM,GERRY <br />Issued Department Pw PUBLIC WORKS <br />Dale Issued �ne�zoo� <br />Fund 4p� Accounl s Program »o Function i�g Aclivity 6» <br />Program <br />TIII� TAP 81NChl 9J06 iBTH AVE W 71011966M1 <br />Nlork Order No 200�0264 PfOJOCI Activity Type CORRECTIVE MAINTENANCE SIBfUS PR <br />Date 3�zaizoo� Time o�.ss Original WO zomozes Billing <br />Customer Information <br />Cuslomer Name <br />Address <br />Aparlment No <br />State <br />Subdivision <br />Phone No ( 1 � <br />Second Phone l 1 � <br />E-Mail Address <br />Problem Information <br />Address 9406 <br />From Cross Street <br />Tu Cross Streel <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requesfed By <br />Ayency <br />Initiated From <br />Utility Locale (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Cuntr2ctor <br />Assigned To <br />Assigned By <br />Assigned Dale <br />Scheduled Date <br />Route <br />Comments BILLJOB(#t) <br />Action Taken <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street �BTH AVE W <br />Map Book <br />Called Dale <br />a <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Cuslomer ld <br />Zip <br />Change Map Y/N <br />Map Reference <br />Date Requested <br />Relaled Request <br />Expiration Date <br />Priority Estimated Hours <br />