ST9302-CL001215December 15, 2000
PIPE & SUPPLY, INC.
Associated Indenmity Corp.
1999 Briar Street 11t~ Floor
Dallas, TX 75221
CERTIFIED MAIL NO. 7099 3220 0009 0199 8259
RETURN RECEIPT REQUESTED
and
City of Coppell
P.O. Box 478
Coppell, TX 75019
Notice of Claim
Project: Sandy Lake & Moore Road
Bond No.
CERTIFIED MAIL NO. 7099 3220 0009 0199 8242
RETURN RECEIPT REQUESTED
Dear Sir or Madam:
We are hereby notifying both of you that our company, Act Pipe & Supply, has a claim in the sum of
$17,925.15 for labor and/or materials delivered thru the month(s) of September 2000 on the referenced
project. The labor performed and/or materials furnished by us are generally d~scribed as follow: pipes,
valves, and fittings. Such labor performed and/or materials were furnished to M-Co Constmetio~ Inc.
pursuant to an oral agreement with M-Co Construction Inc. Sec attached invoices or statement of
account.
Attached hereto is our Sworn Statemem of Account
This notice is sero in compliance with Chapter 2253, Texas Governmem Code. ff you need any
additional information to process this claim or ff you believe that this claim is defective in any way, please
notify us at once.
Very truly yours,
Donna Ridgeway CCE~
Credit Manager
Enclosure: Sworn Statement of Account and Attachments
Ed Bell Construction
P.O. Box 540787
Dallas, TX 75354
CERTWIED MAIL NO. 7099 3220 0009 0199 8273
RETURN RECEIFr REQUESTED
M-Co Construction Inc. CERTIFIED MAIL NO. 7099 3220 0009 0199 8266
6816 Harmonson Road 'RETURN RECEIPT REQUESTED
N. Richland Hill, TX 76180
6950 West Sam Houston Pkwy. N. Houston, Texas 77041 (713) 937-0600 FAX (713) 937-0690 (800) 231-9808
Dallas, Texas 75220
2011 California Crossing
(972) 409-9200
Houston, Texas 77034
8921 Frey Road
(713) 947-7132
Pflugerville, Texas 78660
1400 Grand Ave. Pkwy N.
(512) 252-7030
San Antonio, Texas 78217
4719 Dodge Street
(210) 946-6969
Fort Worth, Texas 76111
2585 Northeast 28th Street
(817) 831-1663
PIPE & SUPPLY, INC.
STATE OF TEXAS
COUNTY OF HARRIS
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SWORN STATEMENT OF ACCOUNT
Before me the undersigned authority on this day personally appeared Donna
Ridgeway, who, after being by me duly sworn did depose and say:
1. My name is Donna Ridgeway; I am the credit manager of ACT Pipe & Supply,
Inc. and am authorized to make this affidavit;
Claimant has a claim in the amount of $17,925.15 for materials generally
described as follows: pipes, valves, and fittings. Such materials were furnished to
M-Co Construction Inc. thru the momh(s) of September 2000.
3. 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.
4. The invoice(s) or statements attached hereto are tree and correct copies of the
originals of same which were scm to M-Co Construeiton Inc.
onfia Ridgeway C~2~
Credit Manager
Subscribed and sworn to before me this 15t~ day ofI~ber 2000/~ t/
Notary Public in and fc~r ,J
The State of Texas
6950 West Sam Houston Pkwy. N. Houston, Texas 77041 (713) 937-0600 FAX (713) 937-0690 (800) 231-9808
Dallas, Texas 75220
2011 California Crossing
(972) 409-9200
Houston, Texas 77034
8921 Frey Road
(713) 947-7132
Pflugerville, Texas 78660
1400 Grand Ave. Pkwy N.
(512) 252-7030
San Antonio, Texas 78217
4719 Dodge Street
(210) 946-6969
Fort Worth, Texas 76111
2585 Northeast 28th Street
(817) 831-1663
.~/"'~TEMENT
ACT PIPE & SUPPLY, INC.
P.O. BOX 201810
HOUSTON TX 77~16-1810
(7I~) 957-0600
1056
M-CO CONSTRUCTION INC.
6816 HARMONSON RD.
N.RICHLAND HILL, TX 76180
DATE:
PAGE: 1
12/04/00
DATE ! INVOICE !SHIP DT ' AMOUNT !CUSTOMER PO#/PAYMNTS !TP ! BALANCE
Ship-to 5 JOB: SANDY LAKE RD & MOORE RD , I
09/01/00 ! 507450 !08/51/00 ! 171.52 ! SANDY LAKE t ' 171
09/08/00! 508855 !09/06/00! Eql .86 ! SANDY LAKE ' ' Eql .86
09/15/00! 509B68 !09/le/O0 .' 165.06 ! SLIM ' J 165.06 !
'-': ........................... :'" '-~-'~" "~--" ....... I I ....
39/0'1/00 ! 507451 !08/51/00! 246.71'i SLIM ~ ' ~6.71
39/12/00! 509519!09/11/00! 17100.00! ALFORD ~ ~ 17100.00!
7099 3220 0009 0199 8242
C/TY OF COPPELL
P.O. BOX 478
COPPELL, TX 75019