ST0001-CL020815United 7200 JACK NEWELL BLVD. SO.
FORT WORTH, TEXAS 76118
0 RO,015 TEL. 817-595-8885
FAX 817 -590 -0285
HIGHWAY TECHNOLOGIES
August 15, 2002
Customer #: 43474
Owner or Reputed Owner:
City of Coppell
Attn: Engineering Dept.
255 Parkway Blvd.
Coppell, Texas 75019
Certified Mail #: 7002 0510 0002 8682 0667
Original Contractor:
Infrastructure Service
2365 Houston Street
Grand Prairie, Texas 75050
Certified Mail #: 7002 0510 0002 8682 0674
Amount of Claim $1,000.01
(see attached Itemized invoice list or invoice copies)
Surety:
Travelers Casualty & Surety Co.
One Tower Square
Hartford, CT 06183 -6014
Certified Mail #: 7002 0510 0002 8682 0681
RE: Notice of Claim
PROJECT: Creekview / Freeport
Bid Job
Dear Gentleman:
1 0 .101 ONI
We are hereby notifying both of you that our company, United Rentals Highway
Technologies, formerly Lectric Lights Co, has a claim in the sum of ONE THOUSAND
DOLLARS AND ONE CENT(S) ($1,000.01) for labor performed and/or materials delivered
during the month(s) of May 2002, on the referenced project. The labor performed and or
materials furnished by us are generally described as follows: see attached. Such labor performed
and/or materials were furnished to Infrastructure Service pursuant to Dallas County.
Attached hereto is our Sworn Statement of Account.
This notice is sent in compliance with Chapter 2253, Texas Government Code. If you
need any additional information to process this claim or if you believe that this claim is defective
in any way, please notify us at once.
Sincerely,
Rob Odom, Branch Manager HT230
Un ited
Renter's
HIGHWAY TECHNOLOGIES
7200 Jack Newell Blvd So.
Fort Worth, Texas 76118
Phone (817) 595 -8885
www.unitedrentals.com
STATE OF TEXAS
COUNTY OF DALLAS SWORN STATEMENT OF ACCOUNT
Before me the undersigned authority of this day personally appeared Rob Odom, who,
after being duly sworn did depose and say:
My name is Rob Odom; I am the Branch Manager of United Rentals Highway
Technology and am authorized to make this affidavit;
Claimant has a claim in the amount of ONE THOUSAND DOLLARS AND ONE
CENT(S)$1,000.01) for labor performed and/or materials generally described as follows:
see attached. Such labor performed and /or materials were furnished to Infrastructure
Service, during the month of May 2002.
The amount of this claim is just and correct, and all just and lawful offsets,
payments and credits known to the undersigned claimant have been allowed.
The invoices or statements attached hereto are true and correct copies of the
originals of same, which were sent to Infrastructure Service.
( A/An
Rob Odom, Branch Manager HT230
Subscribed and sworn to before me this 15 day of August 2002.
CYNTHIA A. MOLLOW►N
=� °= NOTARY PUBLIC
N� STATE OF TE XAS
My COMM. EXP. 09 -01 -200{
C �'Dx- 6
Not Public in and for The State of Texas
My Commission expires:
United Rentals # 230
Formerly Lectric Lites
7200 Jack Newell Blvd., South
Fort Worth, TX 76118
Phone: 817-595-8885
Fax: 817-590-0285
Page 001 of 005
RENTAL INVOICE
5/24/02
6/23/02
5/24/02
6/23/02
5/24/02
5/24/02
5/24/02
5/24/02
6/23/02
6/23/02
6/23/02
6/23/02
5/24/02
5/24/02
5/24/02
6/23/02
6/23/02
1 cc
I cc
4 E007
4 E007
8 K007
10 K007
3 K007
3 K-004
8
..........
..........
10 MAI
3 K00.7
3 K061
2 K036
3 K036
4 K036
2 K036
3 K036
00
00
00
00
00
00
00
00
00
00
CONTRACT BILLING 1/25/02
CONTRACT BILLING 1/25/02 1 301 923.79 MI 923.79
IRS HI ULTRAPNL
.00
3/22/02
DATE
.00
00 D
IRS VP1S
.00
00 D
.00
IRS HI ULTRAPNL
3/22/02
4
30
VP,
HI ULTRAPANEL
W/ BASE
2/12/02
VP,
HI ULTRAPANEL
W/ BASE
3/15/02
VP,
HI ULTRAPANEL
W/ BASE
5/13/02
Vp
411, VANRL
... .. .. UL��A
Wk IMSE
....
.......
VPs
H.� Tj4T ET+
N to
30
VP,.
HI ULTRAPANEL
W/...,AASE
3/15/02
.10
30
V?
HI.:*TjLTRAPAN.EJ,
W/,. BASE
.5/33(02
..::3.
30
VP,
I . II ULTRAPANEL
W/ BASE
013/02
3
30
8'
DF T3 EG 1X6" BDS
1/25/02
STF
8'
DF T3 EG 1X8" BDS
2/12/02
8'
DF T3 EG 1X8" BDS
2/12/02
8'
DF T3 EG 1X8" BDS
1/25/02
2
30
8'
DF T3 EG IX8" BDS
2/12/02
3
30
00 D1 .00
00 D
.00
00 D
DATE
.00
00 D
.00
00 D
.00
00
00
TOTAL:
A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST.
JSTOMER SIGNATURE
DATE
NAME PRINTED D
A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST.
United Rentals # 230
Formerly Lectric Lites
7200 Jack Newell Blvd., South
Fort Worth, TX 76118
Phone: 817 - 595 -8885
Fax: 817 - 590 -0285
Page 002 of 005
PLSA9
RENTAL INVOICE
6/23/02
4
K036 00
8' DF T3 EG 1X8" BDS
2/12/02
4
30
.00 D
.00
5/24/02
40
N 00
BARREL, 4" HI W/0 BASE
2/12/02
W/O BASE
6/23/02
40
N 00
BARREL, 4" HI W/O BASE
2/12/02
40
30
.00 D
.00
5/24/02
2
P300 66
EG UP & OVER LEFT
2/12/02
5/24/02
4
P300 66
EG UP & OVER LEFT
2/13/02
6/23/02
2
P300 66
EG UP & OVER LEFT
2/12/02
2
30
.00 D
.00
6/23/02
4
P300 ,
X.
EG UP & OVER LEFT
2/13/02
4
30
.00 D
.00
5/24/02
2
6/23/02
2
P3 ;}U :: $3
EG ,N. P. H. 20
2/12./02
.,2
30
.00 D
.00
5/24/02
2
P300 69
DETOUR RIGHT
6/23/02
2
P300 69
DETOUR RIGHT
2/12/02
2
30
.00 D
.00
5/24/02
2
P300 70
DETOUR LEFT
2/12/02
6/23/02
2
P300 70
DETOUR LEFT
2/12/02
2
30
.00 D
.00
5/24/02
4
P301 68
EG ROAD CLOSED
2/12/02
6/23/02
4
P301 68
EG ROAD CLOSED
2/12/02
4
30
.00 D
.00
THE MERCHANDISE LISTED HERE HAS SEEN PRODUCED IN ACCORDANCE WITH THE FAIR LABOR STANDARDS ACT OF 1938 AS AMENDED. < TOTAL
TERMS: NET 30 DAYS This account is su "ect to a LATE CHARGES for.late payment. This Charga is computed at an annual percentage rate of 18% 1 periodic monthly rate of 1 112 %1
on the total past due balance over 30 daY6. the event that suit is necessary to Collect the account, it is agreed that 'r
' _ 1 y g at purchaser will be liable for reasonable attorney fees as determined ;
,. . n: =,
by the Court.
READ BEFORE SIGNING, The individual signing below as or on behalf of the Lessee: 11 has read, understands,; and agrees to all of the terms and conditions Df the front and back of this Rental
Agreement, including an agreement that raleases us from: liability for our negligence,.. 21 acknowledges receipt of the equipment in good working order and, I:3) is fully tamihar with its operation antl use,
X
CUSTOMER! SIGNATURE < DATE NAME PRIMED:: DELIVERED BY DATE s.
A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST.
United Rentals # 230
Formerly Lectric Lites
7200 Jack Newell Blvd., South
Fort Worth, TX 76118
Phone: 817 - 595 -8885
Fax: 817 - 590 -0285
Page 003 of 005
PLEi
T T"
RENTAL INVOICE
6/20/02
8
P48 02
8180
SIGN STAND, WINDMASTER
6/23/02
8
P48 02
SIGN STAND, WINDMASTER
6/20/02
8
4
.00 D
.00
5/24/02
6
S530 00
BCADE LEG, 12'
1/25/02
5/24/02
4
S530 00
BCADE LEG, 12'
2/12/02
5/24/02
10
5530 00
BCADE LEG, 12'
2/13/02
5/24/02
1
5530 00
BCADE LEG, 12'
3/13/02
6/23/02
6
5530 00
BCADE LEG, 12'
1/25/02
6
30
.00 D
.00
6/23/02
4
5530 .,,,,:.90
BCADE LEG, 12'
2/12/02
4
30
.00 D
.00
6/23/02
10
SS30`i 06
�_
BCATJE 12;"
- ,2 /13
1Q:�:.30
.00 D
.00
6/23/02
1
3 . £�,. ,. X7'1?
#C,AB13:�'LG
3/13 /;Q2i
.:
.00 D
.00
5/24/02
6
55'.312' <. :;;J.4.....
BCA67E ?LEG :'10 .:....`
1/25f"02
,..
...;.
6/23/02
6
5530 06
BCADE LEG, 10'
1/25/02
6
30
.00 D
.00
5/24/02
1
U400 00
HI TWO WAY TRAFFIC ARROWS
3/13/02
6/23/02
1
U400 00
HI TWO WAY TRAFFIC ARROWS
3/13/02
1
30
.00 D
.00
5/24/02
3
U401 03
HI ROAD WORK AHEAD 48
1/25/02
6/23/02
3
U401 03
HI ROAD WORK AHEAD 48
1/25/02
31
30
.00 D
.00
TOTAL:
7USTOMER SIGNATURE DATE NAME PRINTED
A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST.
United Rentals # 230
Formerly Lectric Lites
7200 Jack Newell Blvd., South
Fort Worth, TX 76118
Phone: 817-595-8885
Fax: 817-590-0285
Page 004 of 005
RENTAL INVOICE
5/24/02
3
U401 04
HI END ROAD WORK
1/25/02
6/23/02
3
U401 04
HI END ROAD WORK
1/25/02
3
30
.00 D
.00
6/20/02
2
U800 01
8180
ROLLUP ROAD WORK AHEAD
6/23/02
2
U800 01
ROLLUP ROAD WORK AHEAD
6/20/02
2
4
.00 D
.00
6/20/02
2
U800 02
8180
ROLLUP ONE LANE ROAD AHEAD
6/23/02
2
U800 02
ROLLUP ONE LANE ROAD AHEAD
6/20/02
2
4
.00 D
.00
6/20/02
2
U800 .....03
... . ........
8180
ROLLUP FLAGMAN AHEAD
6/23/02
2
U00
: .....
OL AHE
. ... ....
6./20/Q2
4
.00 D
.00
6/20/02
2
480
:x
ROLLUP FLAGMAN
6/23/02
2
U8ff4 ;q4
R LTUP:F GMAN
' 02
4
.00 D
.00
5/24/02
60
z 00
SANDBAG
1/25/02
5/24/02
16
z 00
SANDBAG
2/12/02
5/24/02
20
Z 00
SANDBAG
2/13/02
5/24/02
10
z 00
SANDBAG
3/13/02
6/23/02
60
z 00
SANDBAG
1/25/02
60
30
.00 D
.001
6/23/02
16
Z 00
SANDBAG
2/12/02
16
30
.00 D
.00
6/23/02
20
Z 00
SANDBAG
2/13/02
20
30
.00 DI
.00
TOTAL:
A LAMULK KJN I GUFY L)I- I Nt: IFRIVIS AND CONDITIONS IS AVAILABLE UPON REQUEST.
United Rentals # 230
Formerly Lectric Lites
7200 Jack Newell Blvd., South
Fort Worth, TX 76118
Phone: 817- 595 -8885
Fax: 817 - 590 -0285
Page 005 of 005
RENTAL INVOICE
00 1 1 6/21/021 1 I I 10 IZERVI 974 00 9181IS CE JOB
3/13/02 10 30 .00
1 .00
Subtotal
.00
.00
923.79
76.22
TOTAL: 1 1,000.01
A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST.