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Work Activity VVork Order :,1,; ���Z 1;.,3 <br />ISSUBd By � CSG CAVANAH, SHANE G. <br />Issued Department P�v PUBLIC WORKS <br />Date Issued �Zn6�Z°i� Account s Program »o Function »� Activity e�5 <br />Fund 40� <br />Program <br />TI118 REPAIR .5INCH 2O06lEONARD DR 710119675 <br />20112616 PfOfOCf 9 — — ACiIVIIy Ty(]0 CORRECTIVE MAINTENANCE $t8tU5 CL <br />Work Order No Billin <br />Status �2itsizoti Time oa:is _ Ori mal WO _-__ ____ 9 _ - - ---- - -- — <br />Customer Information <br />Customer Name <br />Addrass <br />Apartment No <br />State <br />Subdivision <br />Phone No � � ' <br />Second Phone � > - <br />E-Mail Address <br />Problem Infonnation <br />Address <br />From Cross Street <br />To Crass Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Init�ated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Street <br />City <br />Zip <br />Ext <br />FYt <br />Street <br />Map Book <br />Called Date <br />Customer ld <br />Change Map Y!N <br />Zip <br />Map Reference <br />Qate Requested <br />Related Request <br />ExGiration Date <br />Priority Esiimated Hours <br />Assigned By To ge Comp Gate <br />A=signed Date � <br />Scheduled Date Scheduled ?ime <br />Route Route Seuuence <br />CommCniS �NVENTOItY MATERIAL IN 7HE AMOUNT OF 5298.68 WAS JOURNALIZED r <br />IN 2011 � <br />Action Taken F�AT TO SETTER, WSTALLED SMAL.".SCLDED BOX AND JUMPER <br />Recommended Action <br />Job Costlnformation(Y/N) _ <br />Aporoved By HW HusBY, t�NCE � Date Completed tv�sizo�t Permit No <br />Slart Date � � Time -- � - — <br />Time Follow Up. <br />Compieted By <br />