ST9702-CS 970602DATE: June 2, 1997
TO:
FROM:
Ken Griffin, Director of Engineering
Vivyon V. Bowman, Director of Administration/Human Resources
TST/Impreso, Inc. Claim
Attached is a claim which has been forwarded to TML.
It is my understanding the Garreth Campbell and Aml Patel are aware of this
accident.
I would appreciate any additional written information you could add regarding this
claim.
Thank you.
,ev, t./h.
JUN C 2 !997
P.O. BoX 478
Coppell, TX 75019
(..R OFFICE USE)
CLAIM NO.
IN MY OFPIC%, TBIS THE
DAY OF , 19
CITY SRCRETARY
PILED
Dear Sir:
circumstances giving rise to this claim are as :
19 at approximately o'clock ., at the specific
loc. tio. of - i.
2. ~e d~ge or injury occurr~ in the [oll~in~ ~er=
3. The full extent of my dosages and/or injuries are as
follows (be specific; attach estimates, bills. etc.. if available)=
4. The amount of damages claimed is $
/
~: ~TICB II, ~ct~on 11,0~ o~ the ~ ~le ~te= -
~e Suits.
The notification shall be filed within forty-five (45) da~s of
the date of in~uz7 or damage or, in the case of death, within
forty-five (45) ~ays of the date of death. The failure to so
notify the city within the time and manner specified shall
exonerate, excuse and exempt the city free any liability
whatsoever. No action at law shall be brought against the city
until at least sixty {60) days have elapsed following the date
of notification.
AMERIC ~ LAWN SPRINKLER
M~psco: ll-H P.O. Box 781124
Date: 04/10/97 Dallas, TX 75378-1124
214-420-8700
Customer: TST-Impreso/SEE JOHN GRAVES
Address: 652 Southwestern Blvd. Coppell
Instlld: service Date Requested: **CONT ON INVOICE 33198** Wrk2 Ph
Trouble Rptd: Check and adjust system-not sure if all of it is coming on
C O ·
Invoice# 32989
Taken by: CNL
Home Ph 972- -
Wrkl Ph 972-462-0100
Work Perfrmd: Replaced m/1 & wire under drive, replaced m/1 & wire at corner
where City had damaged, replaced 3 valves, checked system.
Valves: P/U:
ROT:
Qty Material/Description
2 V-R205PRS 1 RICHDEL VALVE W
7 W-WCBD 3M 314 BLUE DOT WATE
20 P-2220 2 CLASS 200 PVC PIPE
1V-R216APR I 1/2" RICHDEL GL
40 W-186 18 GAGE/6 STRAND WIRE
2 F-436015 i 1/2 MALE ADAPTER
I F-435010 i FEMALE ADAPTER
i F-101100 i SLIP FIX COUPLIN
12 W-URWC UR WIRE CONNECTORS
i F-417020 2' 45 DEG ELL SLI
2 F-429020 2 SLIP COUPLING
i F-401020 2 TEE SLIP
2 F-406020 2 SLIP 90 ELL
3 F-437251 2 X I 1/2 RED. BUS
I F-437212 i 1/2X11/4 RED. B
i F-406012 I 1/4 90 DEG ELL S
I F-401012 i 1/4 TEE SLIP
i F-437168 i 1/4 X I RED. BUS
I F-437166 i 1/4X 1/2 RED. BU
6 F-436005 1/2 MALE ADAPTER
5 H-1804 RAINBIRD 4 POP UP
8 F-430005 1/2 THREADED COUPL
2 F-417005 1/2 45 DEG ELL SLI
I F-429010 i COUPLING
Controller:HARDIE-RD
Unit Total
24.5000 49.00
0'.8600 6.02
0.6800 13.60
75.3600 75.36
0.2500 10.00
0.7400 1.48
0.6700 0.67
4.4200 4.42
0.6000 7.20
1.2800 1.28
0.9800 1.96
1.6000 1.60
1.1100 2.22
1.0400 3.12
1.1000 1.104
0.8400 0.84
0.9000 0.90
0.9900 0.99
0.7500 0.75
0.3600 2.16
3.3600 16.80
0.5600 4.48
0.4000 0.80
0.6000 0.60
Techs Signature:
T#1
Date Time
04/16/97 10:00
10:53
Rate Amount
05/02/97 10:28 55.00
11:53
77.92
05/02/97 11:30 70.00 437.50
17:45
05/05/97 09:00 70.00
18:15
647.50
05/07/97 09:00 70.00
15:00
420.00
Billing Summary
Total Labor:
Total Materials:
Credit :
Subtotal:
Tax 7.25%
1582.92
207.35
1790.27
129.79
1920.06
Payment Due Upon Cr:
Completion Of Work
Paid By:
Total Materials:
90 Day Warranty on Parts. 30 Day Warranty on Labor.
III ' l '][ [ ....
* I
' Repairs Satisfactorily
!
' Completed
'Customer Signature
,
,
207.35~X
· AMERIC.~ 'LAWN SPRINKLER
M~ps~o:. tl-H P.O. Box 781124
Date: 05/08/97 Dallas, TX 75378-1124
214-420~8700
Customer: TST-Impres0/SEE JOHN GRAVES
Address: 652 Southwestern Blvd. Coppell
.Instlld: service Date Requested:
Trouble Rptd: ***CONTINUED FROM INVOICE 32989***
C O ·
Invoice# 33198
Taken by: CNL
Home Ph 972- -
Wrkl Ph 972-462-0100
Wrk2 Ph
Work Perfrmd:
Valves: P/U:
ROT:
Qty Material/Description
1MISC-BORE BORING MACHINE US
1 F-417010 1 45 DEG ELL SLIP
2 F-407005 1/2 S X T 90 DEG E
6 EXT-0506 1/2 X 6 CUT OFF NI
8 EXT-0502 1/2 X 2 POLY NIPPL
60 W-16SSBLK 16 GA BLACK SOLID
3 ADPT-PA8 PLASTIC R/B ON SHR
9 N-RB12H HALF NOZZLE
7 W-K2WC KING-2 DARK BLUE 1S
1 F-436007 3/4 MALE ADAPTER
Controller: HARDIE-RD
Unit
95.0000
0.7000
0.3600
0.6000
0.6000
0.0500
1.4000
1.4600
1.1000
0.4800
!
· . !
!
!
__'__ * I
I
· · !
!
__* __ * ,,,I
Total
95.00
0.70
0.72
3.60
4.80
3.00
4.20
13.14
7.70
0.48
Techs Signature:
T#1
Date Time Rate Amount
05/07/97 : . .
:
/ / :
/ / :
/ / :
Billing Summary
Total Labor: .
Total Materials: 133.34
Credit :
Subtotal: 133.34
Tax 7.25% 9.67
Total: 143.01
Payment Due Upon Cr:
Completion Of Work
Paid By:
e
Total Materials:
g0 Day Warranty 0n Parts. 30 Day Warranty on Labor.
III l' ]'1~
· I
! Repairs Satisfactorily
!
! Completed
' Customer Signature
!
!
133.34 X