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ISSUed By CSG <br />Issued DepartmentPw <br />Date Issued sie�zo�� <br />Fund ao� <br />Program <br />Work Activity Work Order <br />----- _ <br />� CAVANAH, SHANE G. <br />PU9LIC WORKS <br />Page 1 <br />s/ls/zoii is:iz <br />Account s Program �to Function tts Activity s�s <br />Tille RENEW .75 1NCH 4921 RUCKER AVE 710119675 <br />WO�k Ofd2f NO Z�� ��8�� PfOJOCt Activity Type CORRECTIVE MAINTENANCE Sf8lU5 CL <br />Status ererzoi� Time oe:s� Origieal WO 7C/J��j E:�.= Billing __ _ _ . _ _ _ _ __ __ . __ <br />— � — — -- <br />Customer InFormation <br />Customer Name <br />Address Street <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( 1 - Ext <br />Second Phone l ) • Ext <br />E-Mail Address <br />Problem Information <br />Address Street <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Niap Book <br />Problem <br />Sub Problem <br />Requesled By <br />Agency <br />Initiated From <br />Ulilily Locate (USA) No Called Date <br />Assignment Information <br />Dept <br />Crew <br />Contraclor <br />Assigned To <br />Assigned By <br />Assigned Dale To Be Comp Date <br />Scheduied Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken RENEWED SERVICE. INSTALLED SETTER 8 JUMPER. <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Uate Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />i;�EC��2DS <br />__ nur, 2 y zott <br />Recommended Action <br />Approved [iy BGM2 BEUKERS, GEORGE M. JOb COSf IflfO�f118t1Of1(YIN)_ _ <br />Start Date i � Time _ Date Completed eivzott __ Permit No _ <br />-- <br />Compleled By Time Follow Up7 _ <br />