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Issued By CSG <br />Issued Department Pw <br />Date Issued 412912014 <br />Fund 401 <br />Program <br />Work Activity Work Order <br />CAVANAH, SHANE G. <br />PUBLIC WORKS <br />Page 1 <br />9/28/2014 10:59 <br />Accounts Program 710 Function 119 Activity 575 <br />Title REPAIR .75 INCH 3209 RUCKER AVE 710119675 <br />Work Order No 20141000 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br />Status 4129/2014 Time 15.4a Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) <br />Second Phone l 1 <br />E-Mail Address <br />Problem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivl;ion <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initialed From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Dale <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 Dale <br />Scheduled Time <br />Route Sequence <br />Action Ta°en BRITTLE POLY, REPLACED PACT JOINT. <br />Recommended Action <br />Customer Id <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 RJP RAPELYEA, JASON P. Job Cost Information(YIN) <br />Start Date I i Time Date Completed 412912014 Permit No <br />Completed By Time Follow Up? <br />