ST9302-CL010112January 12, 2001
Ms. Bonnie Whitted
600 Deforest Rd.
Coppell, TX 75019
Dear Ms. Whitted:
This letter is to notify you that your claim against the City has been forwarded to the
insurance company of the contractor working on a project in this area at the time of your
claim.
The name of the insurance company is: Ed Bell Construction
P.O. Box 540787
Dallas, TX 75354-0787
The name of the contact person is: Nancy Johnson
Her telephone number is: 214-358o6581
Please contact Nancy with any comments/concerns regarding your claim.
Sincerely,
VivT'on V. Bowman --
Director of Administration/HR
CC:
Nancy Johnson, Ed Bell Construction
Ken Griffin, City Engineer
Jim Witt, City Manager
Clay Phillips, Deputy City Manager
255 PARKWAY ~r P.O BOX 478 'k COPPELL TX 75019 lit TEL 9'72/462 0022 'Jr FAX 972/304 3673
CLAIM NOTICE
City Secretary
City of Coppell
PO Box 478
Coppell TX 75019
This is my notice of claim against the City of Coppell. The circtunstanc~ giving rise to this claim are as
follows:
1. The injury or damage occurred on the /~ ~ day of .,/Vo{,/~ ~ ~e, , ~
at approximately .~.'_go o"clock ~ at the specific location of ~-~. ~/~, ~.a~: ~, *-
,/97~C .,~,'~.. ~ ; /._'n_ ~e_~,.,,-r.~/'~'~J ',in'Coppell, Texas.
The damage or injury oc~'urred in the following manner:
~e ~ e~em of my d~es ~or bj~ ~e ~ fo~ows ~e sp~c - a~ch ~t~ b~
etc., · av~le):
/
The amount of damages claimed is $ c_~ ~?, ~7 q
(Please Print)
I do swear the above is true and correct.
Signed .?~ ~ Date
NOTE: Article 11, Section 11.09 of the Home Rule Charter - Damage Suits.
The notification shah be filed within forty-five (45) days of the date of injury or damage or, in the case of
death, within forty-five (45) days 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 from any liability whatsoever. No action at
law shah be brought against the City until at least sixty (60) days have elapsed following the date of
notification.
METRO INC.
2400 N. STORY ROAD
IRVING, TEXAS 75062
972-659-9999 METRO 972-256-5561
metrovwtx.com
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO.
,'t ,~;?'7 . IA P.k' ?N.q 189 11 I1 ~lnn vwc..~ ~.I.'t 1A
..... [.~b'R-'F~ATE STOCK NO.
--[~CENSE NO MILEAGE COLOR '
BONNIE WHITTED ;. nn-[ Ti:UP lelr;;I .ell vi:Ri
YEAR r' MAKE /"'M'~Ot~[ ........... D'~FCV~:~"'~-[~ATE DELZVERY MILES
600 DEFOREST nn/Vnl I~.~WaC. FNIRFFTI F
VET~i-CL~E.'~IO - ............ SEL,.:NG DEALER NO. PRODUCTION DATE
q U',B P & '*J 1 f~,q V IUI.A ~ "7 St A ~
F ~ '~. IqC)- .............. P.'O"RO R O DATE
COPPELL, TX '75019 1
RESIDENCE PHONE BUSINESS PHONE COMMENTS
g72.,!.B2.!_065
ANY WARRANTIES ON THE PRODUCT SOLD
HEREBY ARE THOSE MADE BY THE MANUFAC-
,]0~ ! CHAJ~S ................................................................................. TURER. THE SELLER, METRO VOLKSWAGEN
INC. HEREBY EXPRESSLY D;SCLA;MS ALL
......... .... ................ WARRANTIES E THER EXPRESS OR ,MPUED
170.00 INCLUDING ANY IMPLIED WARRANTY OF MER-
0IL PAN LEAKING CHANT ABILITY OR FITNESS FOR A PARTICULAR
REPLACE 0IL PAN AFTER BOTroN[N6 OUT PURPOSE. AND THE SELLER NEITHER ASSUMES
NOR AUTHORIZES ANY OTHER PERSON TO
PARTS ...... QTY---FP-NUNBER ............... DESCR[FrION ......... L]'ST PRiCE-UNiT PRICE- ASSUME FOR IT ANY LIABILITY IN CONNECTION
I 038'103'601'NA 0[L PJ~ ~-11,60 111.60 111.60 WITH THE SALE OF SAID PRODUCTS,
1 D-176-404-A2 SEALANT 21.69 21.69 21.69 ~ HEREBY AUTHORIZE THE REPAIR WORK HERE-
TOTAL - PARTS 133.29 INAFTER SET FORTH TO BE DONE ALONG WITH
THE NECESSARY MATERIAL AND AGREE THAT
JOB# ! TOTALS ............................................................ YOU ARE NOT RESPONSIBLE FOR LOSS OR
LAJ~R 170.00 DAMAGE TO VEHICLE OR ARTICLES LEFT IN
PARTS 133.29 VEHICLE IN CASE OF FIRE, THEFT OR ANY OTHER
i CAUSE BEYOND YOUR CONTROL OR FOR ANY
J01~ I JOURNAL PREF[X V~S J01~ I TOTAL DELAYS CAUSED BY UNAVAILABILITY OF PARTS
OR DELAYS IN PARTS SHIPMENTS BY THE SUP-
J01~ 2 CHARGES ................................................................................. PLIER OR TRANSPORTER. I HEREBY GRANT YOU
STREETS, HIGHWAYS OR ELSEWHERE FOR THE
DRIVERS W[NI)0W S~[CH [~P PURPOSE OF TESTING AND OR INSPECTION. AN
REPLACED WIND0~ swrIcH EXPRESS MECHANIC'S LIEN IS HEREBY
01300002,.35TU I)IA6NOSIS ACKNOWLEDGED ON ABOVE VEHICLE TO
7059].900..40TU P-&[ TP,[N PANEL SECURE THE AMOUNT OF REPAIRS THERETO.
64581950..20TU REPLACE SIll'[CH 645840HE1_2
NOT RESPONSIBLE FOR LOSS OR DAMAGE TO
PARTS ...... QTY;--FP-NUI~ER ............... DESCRIPT[0N ......... L[ST PRZCE-UN[T PR[CE- CARS OR ARTICLES LEFT IN CARS IN CASE OF
lC0'959'85].' '01C SWITCH ~ FIRE THEFT OR ANY OTHER CAUSE BEYOND
J.
TOTAL - PARTS 0.00 OUR CONTROL. CLIENT'S OR OWNER'S SIGNA-
TURE.
CASH ;i; CHK. ~ CHG.
J01~ 2 TOTALS ............................................................
Notice Pursuant to §70,001, Texas Property Code
J01~ 2 JOURNAL PREFZX VWCS ,]01~ 2 TOTAL 0.00 AM THE PERSON OR AN AGENT ACTING ON
BEHALF OF THE PERSON. WHO IS OBLI-
RISC ...... C01)E ........ DESCRIPTION ............................... CONTROL NO ......... GATED TO PAY FOR THE REPAIR OF THE
J0~ # A SS SHOP SUPPLIES 6.07 MOTOR VEHICLE SUBJECT TO THE REPAIR
CONTRACT, I UNDERSTAND THAT THIS VEHI-
TOTAL - N[SC 6.07 CLE IS SUBJECT TO REPOSSESSION IN
ACCORDANCE WITH {,9.503, TEXAS BUSI-
NESS AND COMMERCE CODE, IF A CHECK OR
MONEY ORDER FOR PAYMENT FOR REPAIR
ON THE VEHICLE IS STOPPED, DISHONORED
BECAUSE OF INSUFFICIENT FUNDS, NO
FUNDS, OR BECAUSE THE DRAWER OR
MAKER OF THE ORDER HAS NO ACCOUNT OR
THE ACCOUNT ON WHICH IT IS DRAWN HAS
BEEN CLOSED.
X
Signatura of Person Responsible o~ Age~l tot Pe~son
ALL PARTS REMOVED WILL BE DISCARDED
UNLESS INSTRUCTED OTHERWISE,
ALL PARTS INSTALLED ARE NEW UNLESS
SPECIFIED OTHERWISE.
METRO INC.
2400 N. STORY ROAD
IRVING, TEXAS 75062
972-659-9999 METRO 972-256-5561
metrovwtx.com
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