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Issued By CSG <br />Issued DepartmentPw <br />Date Issued 61912015 <br />Fund ao� <br />Program <br />Work Activity Work Order <br />CAVANAH,SHANE G. <br />PUBLIC WORKS <br />Page Z <br />s/zo/zois 9:aa. <br />Account s Program �to Funclion �ts Activiry e�s <br />Title REPAIR .5 INCH 2524 HARRISON AVE 770119675 <br />Work Order No 20151327 PfOJBCi Activity Type CORRECTIVE MAINTLNANCE SI2fl1S CL <br />Status 6/912015 Time is:za Originai WO Billing <br />Completed By Time _ Follow Up9 <br />Problem Detaiis <br />CONTRACTOR HIT LOCA TED SERVECE. <br />Structure ID StrTyp Activi Compl Date Comments <br />WS2195N077 WASRVG YES 7/1/J075 <br />Address <br />Cross Street <br />Area Designator <br />Map Reference <br />Location <br />2524 HARRISON AVG <br />2524 HARRISON AVE <br />SlrucWre Location <br />Vehicle Costs <br />Type Vehicle No Oescription Hours Cost Billing Date Billing Code Warehouse <br />V J003a 1999 FORD 1 1/7 TON SERVICE TR 2 79.6 O6I09f2015 <br />V J0039 1999 FORD 1 112 TON SVC TRUCK 2 19.6 061092�15 <br />Total Vehidc Cost 83920 <br />Type Mater No <br />M ��AP34000647 <br />M ADAP3a000547 <br />M COUP32002647 <br />M COUP3M1135447 <br />M ELL03A154747 <br />Id ELL074104247 <br />M PIPE540606A7 <br />l"ype ID <br />P HSG <br />p MW[ <br />P PS <br />Material Costs eilling <br />Descnption _ �uantity Cost Date <br />ADAPTER 3l4 FIP X 3/4 IPS INSTMTIT[ 1 15.091 06109/2075 <br />ADAPTER 3/4 MIP X 3141PS INSTA-TRE 1 15.549 06/09/2015 <br />COUPLING 1/2 FEMALE COPPER THREl�D X 3l4 PIP CTN 1 13289 06/0912015 <br />COUPLING J�A MIP X 1l2 CTS PACK JOINT 622•.628 1 10.909 06I09R015 <br />ELBOW 314 NPT 45 DEG STREET BRA55 (1/ft DEND) 1 4997 06/09f2015 <br />ELBOW 314 NPT 90 DEG STREET BRASS (114 BENC) 1 - 499 06109I2015 <br />PIP[ 31A POLY IPS 20D PSI SIDR7 ASTM D2239 � GJ 0 610 912 01 5 <br />Total Matcrial Cost 565.46 <br />Personnel Costs <br />Hours Cost Biiling Date Earning Code Ciass <br />Name <br />tiOLLO, SAMU�L <br />MOORE, W�RREN E. <br />PEREZ,SLRGIO <br />Total Personnel Cost <br />Total Cost <br />2 47.Bt6 06109I2015 <br />2 66.368 0GI09l2015 <br />2 50.748 OGI09/2075 <br />8'160.9C � — --�---- <br />5265.60 <br />War <br />rn� <br />F�,1� <br />PA� <br />Pl�� <br />Nn� <br />Nn� <br />PAP <br />