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Issued By Nso <br />Issued Department <br />Date Iss��ed 618@012 <br />Fund aa� <br />f�rogram <br />lJVork Activity Work Order <br />��IELSEN, SCOTT O. <br />Page 1 <br />io/a/zoiz s:zs <br />Account a Program �to Function t�a Activiry 678 <br />TIfIB REPAIR.75�NCH SER'JICE 10014 56TH ST SE <br />Work Order No 20121789 PfOJBCi Activity Type CORRECTIVE MAINTENANCE SteiUS CL <br />Status E/BI2012 Time oero� Original WO Billing _ <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 <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 />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken MOVED METER BACK TO COE ROW <br />Recommended Action <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Approved By Nso Nie�seN, scorr o. Job Cost Information(Y/N) <br />Start Date � � Time _ Date Completed s�a�2o�2 Permit No <br />Completed By Time __ Follow!Jp7 <br />