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Work Activity Work Order <br />Issued By Nso NIELSEN, SCOTT O. <br />Issued Department aw PUBLIC WORKS <br />Date Issued ��a�2o�z Account s Program »o <br />Fund aot <br />Program REPAIR 2INCh1 3974 52ND ST SE 710118675 <br />Title <br />Work Order No <br />20121181 Project Activiry Type <br />Status ��snotz Time tz:3z Original WO <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � > � <br />Second Phone ( > - <br />E-Mail Address <br />Problem Information <br />Address 3914 <br />From Cross Street <br />To Cross Street <br />City <br />Subd�vision <br />?roblern <br />Sub Prohlem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assiyned To <br />B <br />Street <br />City <br />Zip <br />E:ct <br />Ext <br />Street 52ND ST SE <br />Map dook <br />Called Date <br />Function tte <br />Paie 1 <br />3/15/2013 14:22 <br />Activity a75 <br />CORRECTIVE MAINTENANCE St2tUS CL <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Assig�ed y To Be Comp Date <br />Assigned Date __ _ — <br />Scheduled Date __. Scheduled Time _ _ <br />Route Route Se�uer.ce <br />Comments INVENTORY MATERIAL IN THE AMOUNTOF 5458.90 WAS �OURNALIZED -� � <br />IN 2012 � + � �_ . <br />Action Taken REPLACED BROKEN 21NCH CONTROL VALVE <br />Recommended Action <br />Job Cost Information(YIN) <br />qpproved By Nso NIELSEN_SCOTf O. --- pefR11� NC <br />Start Date i � Time __ Date Completed t13i2a�s — <br />Completed By Time Follow Up? <br />