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Issued By cSG <br />Issued Departmentaw <br />Date Issued anai2ots <br />Fund aot <br />Program <br />W��rk Activity �lvo�-k Or�er <br />CAVAt:AH, SHANE G. <br />PUBLIC WORKS <br />Page 1 <br />8/20/2015 13:39 <br />:�ccount 5 Program �to Function �ie Activity e�5 <br />TIfiB REPAIR ]S INCN 5625 LOMBARD A7E 710119675 <br />Work Order No Z111:i1016 Project Activity Type SERVICE REOUEST <br />Status 4iz:��zois Time �5:05 ,Original W� _Billing <br />Customer Information <br />Customer Name SPRY, GLORIA <br />Address 55ts <br />ApartmentNo <br />State <br />Subdivision <br />Phone No ( a2s ) a53aan <br />Second Phone � 1 - <br />E-Mail Address <br />Problem Information <br />Address 5615 <br />F�om Cross Street <br />io Cross Slreet <br />Cily <br />Subdivision <br />Customer ld <br />SlleOf LOMBARD AVE <br />City <br />Zip <br />Ext <br />Ext <br />Street LOMBARD AVE <br />Zip <br />Problem INATER WATER <br />Sub Problem LEAK LEAK <br />Requested By DRA DURRANT, ROG[R A <br />Agency <br />Initiated From Pueuc PUOLIC <br />Utility Locale jUSA) No <br />Aasignment Information <br />Dept PW PUULIC WORKS <br />Crew <br />Contractor <br />Assigned To csc <br />Assigned By <br />Assigned Date _______ <br />Scheduled Dale __ <br />Ruute <br />Camments <br />Action Taken INSTALLED SETTER. <br />Recommended Action <br />Approved By FBL FISH[R, E30DF3Y L. <br />Slart Date � - �- -- <br />Completed By --_ - -- -- _-_ - - <br />Map Book <br />Caifed Date <br />Change Map YIN <br />Map Re(erence <br />Expiration Date <br />$f8iU5 CL <br />Date Requested anarzois <br />Related Request ooinozao <br />Priorily Estimaled Hours <br />CAVANAH, SHl�NL G. <br />To Be Comp Date <br />Scheduled 1'ime <br />Route Sequence <br />Job Cost In(ormation(Y/N) <br />Time Date Completed nv2ois <br />Time Follow Up7 <br />Permd No <br />