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Issued By CSG <br />Issued DepartmentPW <br />Date Issued 61812011 <br />Fund 401 <br />Program <br />Work Activity Work Order <br />CAVANAH, SHANE G. <br />PUBLIC WORKS <br />Page 1 <br />8/15/2011 14:52 <br />Accounts Program 710 Function 119 Activity 676 <br />Title RENECJ .75 INCH 4905 RUCKER AVE 710119675 <br />Work Order No 20110878 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br />Status 602011 Time 09:53 Original WOW 1 16•% 6; (v Billing <br />customer Information <br />�uslomer Id <br />Customer Name <br />Address <br />Street <br />Apartment No <br />city <br />Stale <br />Zip <br />Change Map Y/N <br />Subdivision <br />Phone No ( ) - <br />Ext <br />Second Phone ( ) <br />Ext <br />E-Mail Address <br />Problem Information <br />Address <br />Street <br />From Cross Street <br />To Cross Street <br />Zip <br />City <br />Subdivision <br />Map Book <br />Map Reference <br />Problem <br />Sub Problem <br />Date Requested <br />Requested By <br />Related Request <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Called Date <br />Expiration Date <br />Assignment Information <br />Priority Estimated Hours <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />rs. <br />To Be Comp Date <br />Assigned Date _ <br />Scheduled Time <br />AVG 2 5 1U11 <br />Scheduled Date <br />Route <br />Route Sequence <br />Comments <br />Action Taken CONVERTED OLD SERVICE TO NEW POLY FROM NEW MAIN. <br />STILL COPPER TO HOUSE. <br />INSTALLED METER <br />BOX WITH JUMPER. <br />Recommended Action <br />Approved By BGM2 SEUKERS, GEORGE M. <br />Start Date / 1 Time <br />Completed By <br />Job Cost lnformation(YiN) <br />Date Completed $1112011 Permit No <br />Time Follow Up? <br />