TR9501-CS 970612TO:
AFFIDAVIT
Project TR95~01
Contract No.
STATE OF Texas
COUNTY OF Dallas
The undersigned
Seyed Mirtaheri
being duly sworn
are the contractors
deposes and says that Integrated Roadway Services
having in charge the construction of Traffic Signal Installation
County of Dallas State of Texas- , ur,cleF cont:~act
with the City of Coppell dated November 12,1996.
Deponent further says that all labor, material an~.~lies thus far used ,FY
id construction and improvement have been paid~°6'.'.'~Y I~in~: ~c~pt as set
the sa ,~>,i'~.~.. ......
forth under "Exceptions" herein.
The words "materials and supplies", as used herein, include coal, wood, form
lumber, gasoline, kerosene, lubricating and fuel oils, etc., necessarily used in
connection with or consumed in the construction and improvement, and equipment
rental,, camp, construction and equipment supplies fur~ished and actually used in
the prosecution of said contract. Deponent further saith not.
EXCEPTIONS:
Taken, subscribed, and sworn to before me this 12 day of/~..~__, A.D.,
- ~:'"7- '~ ~Count
Notary Public
Dallas
My Commission Expires
April 24, 2001