WA9401-CS 950706AFFIDAVIT OF BILLS PAID
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a Notary Public in the
state and county aforesaid, on this day personally appeared
N~me B. DOUG ALUMBAUGH , Title VICE PRESIDENT , of
Company Name ARCHITECTURAL UTILITIES. INC. , known to me to
be a credible person, who being duly sworn, upon his oath deposed
and said;
That all persons, firms, associations, corporations or other
organizations furnishing labor and/or materials have been paid in
full, less any retainage.
That the wage scale established by the City Council in the
City of Coppell has been paid; and
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
EAST BELTLINE ROAD WATER LINE
BY:
Subscribed and sworn to before me this
19 95 .
IMPRO' S, , PP ,
6TH
TEXAS
day of JULY
" <' ~[ ~,-~-"' ' In and fo' the S~ate o~ Texas
~ ~ Ccmmlsson Ex~:rao 06-05-9a
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My n Expires 8/5/99
IRCHITECTURAL UTILITIES, INC.
GENERAL CONTRACTORS
300 WEST RAMSEY
P.O. BOX 11586
FORT WORTH, T'X 76110
817-926-4377
429-8191 METRO
817-926-4387 FAX
TO: City of Coppell
P. O. Box 478
Coppell, TX 75019
Date:
Attn:
Re:
July 6, 1995
Mr. Ken Griffin
East Beltline Road Water Line Project
WE ARE SENDING YOU x Attached
__ Shop Drawings
__Copy of Letter
Prints
Change Order
Under seperate cover via the
following
Samples
Brochures
DESCRIPTION
Application for Payment No. FINAL
Affidavit of Bills Paid
specifications
THESE ARE TRANSMITTED as checked below:
X For Approval
.. For your Use
As Requested
_ . Approved as Submitted
Approved as Noted
Returned for Corrections
For Review & Comment
REMARKS & REQUESTS:
Resubmit copies for Approval
Submit-copies for Distribution
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COPY TO:
ARCHITECTURAL UTILITIES, INC.
By
HOUSTON L. CAVIN