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ST0701-CL100115 DI -MIX CONCRETE a U.S. Concrete Company JANUARY 15, 2010 1001 W. Euless Blvd., Ste. 100 Euless, Texas 76040 Tel: (817) 835 -4000 GREAT AMERICAN INSURANCE Certified Mail: 71603901984865269370 Fax: (817) 835 -4035 COMPANY OF NEW YORK www.us- concrete.com 580 WALNUT ST RETURN RECEIPT REQUESTED CINCINNATI, OH 45202 BOND NO: 1504424 LH LACEY Certified mail: 71603901984865269387 PO BOX 541297 RETURN RECEIPT REQUESTED DALLAS. TX 75354 RE: REDI -MIX CONCRETE Vs. TEXAS SHAFTS. INC., LH LACEY, and GREAT AMERICAN INSURANCE AND ASHALR CONTRACTING Project: SOUTHWESTRN BLVD BRIDGE PEIRS COPPELL Gentlemen: We understand GREAT AMERICAN INSURANCE is surety on public work payment bond pursuant to the Government Code Chapter 2253. formally known as the McGregor Act, and that LH LACEY is principal of said bond relating to the construction project located at 390 SOUTHWESTERN BLVD COPPELL and known as SOUTHWESTRN BLV BRIDGE PEIRS COPPELL. ASHLAR CONTRACTING is a subcontractor of LH LACY AND TEXAS SHAFTS, INC is a subcontractor of ASHLAR CONTRACTING. If we are incorrect in these understandings. please advise inunediately. Our company fiirnished materials to TEXAS SHAFTS. INC. for use on the subject construction project. TEXAS SHAFTS, INC. owes our company $4,793.31 for the materials our company furnished. This notice is to perfect a bond claim under the public work payment bond pursuant to the Government Code Chapter 2253. formerly known as the McGregor Act. on behalf of our company in the amount of $4.793.31. Enclosed you will find the following: 1. Sworn Statement of Account. 2. Invoices identifying materials fiirnished. The nature of the materials furnished was concrete. The approximate dates of delivery were OCTOBER 20, 2009 THRU NOVEMBER 6. 2009. If you have any questions concerning the above, please advise. Sincerely. ` a o'an Regional Credit Services Manager CC: TEXAS SHAFTS, INC. Certified Mail: 71603901984865269394 PO BOX 79218 RETURN RECEIPT REQUESTED FORT WORTH. TX 76179 CITY OF COPELL Certified Mail: 71603901984865269400 PO BOX 9478 RETURN RECEIPT REQUESTED COPPELL, TX 75019 US T H E • N E W R E S O U R C E FOR T H E C O N S T R U C T I O N I N D U S T R Y CONCRE FE ASHLAR CONTRACTING Certified Mail: 71603901984840247416 PO BOX 713 RETURN RECEIPT REQUESTED LEWSIVILLE TX 75067 DI -MIX CONCRETE) a U.S. Concrete Company 1001 W. Euless Blvd., Ste. 100 Euless, Texas 76040 Tel: (817) 835 -4000 Fax: (817) 835 -4035 wwW.us- concrete.com THE STATE OF TEXAS COUNTY OF TARRANT BEFORE ME, the undersigned notary public in and for the County and State aforesaid, personally appeared Patty O'Donnell, who, being by me first duly sworn, on oath states that she is agent of Redi -Mix .,LLC., a corporation duly incorporated under the laws of the State of Texas., that she has knowledge of the facts herein set forth and is duly authorized to make this affidavit; that the annexed account against TEXAS SHAFTS, INC. is true and correct; that there is now due from TEXAS SHAFTS, INC. the sum of $4,793.31, and that the amount claimed is just and correct and all just and lawful offsets, payments and credit known to the affiant have been allowed. CZ 1 ( i) it 4d ( 7 7` Patty O'Donnell , Regional Credit Services Manager Subscribed and sworn to before me on JANUARY 15, 2010 by Patty O'Donnell, Regional Credit Services manager, for Redi -Mix, LLC. Notary Public State of Texas �� My Commission Expires March 08 20 7 s o tary Public, State of Texas My commission expir • : "I, „A 1 • ,3 T H E N E W R E S O U R C E F O R T H E C O N S T R U C T I O N I N C U S T B Y CONCRETE: INVOICE MAKE CHECKS CONCRETE PAYABLE TO: FEDI MIX CONCRETE REMIT TO: PO BOX 849873, DALLAS, TX 75234 -9873 BILLING INQUIRIES: PHONE (817) 335 -4100 • FAX (817) 835 -4074 1100 Westpark Way• Euless, TX 76040 CUSTOMER# I PROJECT# LIEN LOCATION 1700052 1803898 ORDER # ORDER DATE TERMS TEXAS SHAFTS, INC 1044 10/20/09 NET 10TH PROX P . G BOX 79218 PURCHASE ORDER CUSTOMER JOB # FORT WORTH TX 76179 INVOICE # DATE DUE DATE PAGE Southwestern blvd bridge PeirsCoppell 26031647 10/20/09 11/10/09 1 Project Name pp CREDIT /DEBIT # CREDIT /DEBIT ORDER DATE Delivery Address 390 Southwestern Blvd, Coppell DATE PLANT TICKET# PRODUCT# PREVIOUS PRODUCT# I DESCRIPTION QTY UNIT PRICE AMOUNT 10/20/09 136 25128549 DCCOG501 D36C3501 PIER DOT CL 8.00cy 82.00 656.00 * * * * *TO START RECEIVING YOUR INVOICE AND STATEMENT VIA EMAIL**** CONTACT OUR CREDIT DEPARTMENT AT ( -4100 FOR DETAILS YARDS 8.00 TONS Please Pay By Invoice Number NON TAXABLE 656.00 _ TAXABLE 4 TAX 54.12 TOTAL 710.12_ INVOICE MAKE CHECKS CONCRETE PAYABLE REDI MIX CONCRETE REMIT T0: PO BOX 849873, DALLAS, TX 75284 -9873 BILLING INQUIRIES: PHONE (817) 8354100 • FAX (817) 835 -4074 CUSTOMER# PROJECT# LIEN LOCATION 1100 We stpark Way- Euless, TX 76040 1700052 1803898 ORDER # ORDER DATE TERMS 1028 11/06/09 NET 10TH PROX TEXAS SHAFTS , INC PURCHASE ORDER CUSTOMER JOB # P.O. BOX 79218 FORT WORTH TX 76179 INVOICE# DATE DUE DATE PAGE Southwestern blvd bridge PeirsCoppell 26033135 CREDITIDEBIT# 11/06/09 CREDIT/DEBIT O DER /09 DATE 1 Project N arne g pp ell Delivery Address SOUTHWESTERN BLVD , COPPELL I DATE I PLANT I TICKET # I PRODUCT # PRODU # I DESCRIPTION I QTY E UNIT PRIGS I AMOUNT 11/06/09 259 25134027 DCCOG501 D36C3501 PIER DOT CL 3 50c 82.00 287.00 11/06/09 259 25134273 DCCOG501 D36C3501 PIER DOT CL 6.50cy 82.00 533.00 * * * * *TO START RECEIVING YOUR INVOICE AND STATEMENT VIA EMAIL**** CONTACT OUR CREDIT DEPARTMENT AT (817)835 -4100 FOR DETAILS YARDS 10.00 TONS Please Pay By III- {Dice Number NON TAXABLE 820.00 TAXABLE ,, CONCRETE', �r� � WNW 67 , 65 `: 4 #� TOTAL 887 , 65 INVOICE MAKE CHECKS CONCRETE PAYABLE O REDI MIX CONCRETE : REMIT TO: PO BOX 849873, DALLAS, TX 75284 -9873 BILLING INQUIRIES: PHONE (817) 8354100 • FAX (817) 835 -4074 CUSTOMER # PROJECT # LIEN LOCATION 1100 Westpa►k Way. Euless, TX 76040 1700052 1803898 ORDER # ORDER DATE TERMS 1031 11/04/09 NET 10TH PROX TEXAS SHAFTS , INC PURCHASE ORDER CUSTOMER JOB # P.C. BOX 79218 FORT WORTH TX 76179 INVOICE # DATE DUE DATE PAGE Pro�tNameSouthwestern blvd bridge PeirsCo ell 26032780 11/04/09 12/10/09 1 1 pp CREDIT/DEBIT# CREDIT/DEBITORDER DATE Delivery Address SOUTHWESTERN BLVD , COPPELL DATE PLANT TICKET# PRQCT # PIOUS PRODUCT# DESCRIPTION QTY UNIT PRICE AMOUNT 11/04/09 259 25132224 DCCOG501 D36C3501 PIER DOT CL 7 50c 82.00 615.00 * * * * *TO START RECEIVING YOUR INVOICE AND STATEMENT VIA EMAIL**** CONTACT OUR CREDIT DEPARTMENT AT (817)835 -4100 FOR DETAILS YARDS 7,50 TONS Please Pay By Invoice Number NON TAXABLE 615. _ TAXABLE TAX 5 0lad <rH i m imol TO TAL 665.74 INVOICE MAKE CHECKS PAYABLETO: REDI MIX CONCRETE N C R E TE REMIT TO: PO BOX 849873, DALLAS, TX 75284 -9873 UUf4GINQUIRIES: PHONE (817) 8354100 • FAX (817) 835 -4074 CUSTOMER # PROJECT # LIEN LOCATION 1100 Westparlc Way. Euless, TX 76040 1700052 1803898 ORDER # ORDER DATE TERMS 1033 11/03/09 NET 10TH PROX TEXAS SHAFTS, INC. PURCHASE ORDER CUSTOMER JOB # P.O. BOX 79218 FORT WORTH TX 76179 INVOICE* DATE DUE DATE PAGE 26032599 11/03/09 12/10/09 1 Project Name Southwestern blvd bridge PeirsCoppell CREDITJDEBIT# CREDITIDEBITORDER DATE Delivery Address SOUTHWESTERN BLVD • COPPELL DATE PLANT TICKET # PRODUCT # PREVIOUS PRODUCT# DESCRIPTION QTY UNIT PRICE AMOUNT 11/03/09 259 25131603 DCCOG501 D36C3501 PIER DOT CL 5.00cy 82.00 410.00 11/03/09 259 25131731 DCCOG501 D36C3501 PIER DOT CL 4.00cy 82,00 328.00 11/03/09 259 25131858 DCCOG501 D36C3501 PIER DOT CL 3.50cy 82.00 287.00 * * * * *TO START RECEIVING YOUR INVOICE AND STATEMENT VIA EMAIL * * ** CONTACT OUR CREDIT DEPARTMENT AT (817)835 -4100 FOR DETAILS YARDS 12.50 TONS Please Pay By Invoice Number NON TAXABLE 1,025.00 TAXABLE TAX 84,56 , , . 1 ' 1 TOTAL 1,109.56 DrsoMIA INVOICE MAKE CHECKS CONCRETE PAYABLE TO: REDI MIX CONCRETE RENT TO: PO BOX 849873, DALLAS, TX 75284 -9873 BILLING INQUIRIES: PHONE (817) 8354100 • FAX (817) 835.4074 CUSTOMER# PROJECT# LIENLOCATION 1100 Westpartc Way. Euless, TX 76040 1700052 1803898 ORDER# ORDER DATE TERMS 1040 11/02/09 NET 10TH PROX TEXAS SHAFTS, INC . PURCHASE ORDER CUSTOMER JOB # P.O. BOX 79218 FORT WORTH TX 76179 INVOICE # DATE DUE DATE PAGE 26032469 11/02/09 12/10/09 1 ProlectN Southwestern blvd bridge PeirsCoppell CREDIT1DEBIT# CREDIT/DEBITORDER DATE Delivery Address SOUTHWESTERN BLVD . COPPELL DATE PLANT TICKET # PRODUCT it PREVIOUS PRODUCT# DESClOPT1ON QTY UNIT PRICE AMOUNT 11/02/09 136 25131182 DCCOG501 D36C3501 PIER DOT CL 4 00c 82.00 328,00 11/02/09 136 25131276 DCCOG501 D36C3501 PIER DOT CL 4 00c 82.00 328.00 * * * * *TO START RECEIVING YOUR INVOICE AND STATEMENT VIA EMAIL * * ** CONTACT OUR CREDIT DEPARTMENT AT (817)835 -4100 FOR DETAILS YARDS 8.OU TONS Please Pay By Invoice Number NON TAXABLE 656 0 0 TAXABLE "�# �� TAX 54.12 � TOTAL 710.12