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Issued By CSG <br />Issued Department Pw <br />Date Issued 7115/2010 <br />Fund 401 <br />Program <br />Work Activity Work Order <br />CAVANAH, SHANE G. <br />PUBLIC WORKS <br />Page 1 <br />9/14/2010 9:28 <br />Accounts Program 710 Function 119 Activity 673 <br />Tlile REPAIR 2INCH MAIN 4124 S 3RD AVE 710119673 <br />Work Order No 20102092 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br />Status 7n512010 Time 15:13 Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) <br />Second Phone ( I - <br />E-Mail Address <br />Problem Information <br />Address 4124 <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 Dale <br />Route <br />Comments <br />Action Taken LEAK ON COPPER LINE <br />Recommended Action <br />Approved By <br />Start Dale <br />Completed By <br />WDL WEAVER, DEAN L. <br />I I - <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street S 3RD AVE <br />Customer Id <br />Change Map Y/N <br />Zip <br />Map Book Map Reference <br />Called Date Expiration Date <br />Priority <br />To Pe Comp Date <br />Scheduled Time <br />Route Sequence <br />Time Date Completed <br />Time <br />Date Requested <br />Related Request <br />Estimated Hours <br />Job Cost lnformation(Y/N) <br />81512010 <br />Follow Up? <br />Permit No <br />��2 <br />