MA0401-CS060620T H E C I T Y O F
ENGINEERING DEPARTMENT
FAX COVER SHEET
P O Box 9478
255 Parkway Blvd
Coppell, TX 75019
Phone: (972)304-3679
Fax: (972) 304-3570
To: Anthony Givens / Pavement Services From: Keith R. Marvin, P E.
Fax: 817- 540 -0740 Date: June 20, 2006
Phone: Pages: 2 (including cover sheet)
Re: Sprinkler repair invoice / 428 Greenridge CC:
X Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ As Requested
-Comments:
Mr. Givens,
The attached invoice is for work done to repair a sprinkler line where
Pavement Services performed curb replacement prior to the re- paving
project in Northlake Woodlands, which was accomplished over several
months this spring. The claimant purchased the property but had not
moved into the home, so she had no knowledge that the curb work had
been done until the sprinkler repairman told her what caused the break.
This information was confirmed by her neighbors.
Please arrange for a check in the amount of $175 to be mailed to the
claimant, Ms. Miller at 428 Greenridge Drive, Coppell TX 75019. If you
need additional information, her contact number is on the claim form.
We prefer to let you reimburse the claimant directly rather than sending
the claim form to your surety for payment. I'm sure this method will mean
reimbursement to Ms. Miller in a more timely manner.
IF YOUDO NOT RECEIVE ALL OF THE PAGES PLEASE CALL (972) 304 -3679
"City of Coppell Engineering — Excellence By Design"
CLAIM NOTICE
or Office Use
,IM NO FILED IN
OFFICE THIS THE DAY OF
.20
ADMINISTRATIVE SE CRETARY
City Secretary
City of Coppell
P O Box 9478
Coppell, TX 75019
(972) 304 -3673 (FAX)
This is my notice of claim against the City of Coppell. The circumstances giving rise to this claim
are as follows
d o-( (Y) a t-cj'_
The injury or damage occurred on the day of
approximately o'clock , at the specific location of
in Coppell, Texas
20C,6, at
2 The damage or mjury occurred in the following manner*
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3 The full extent of my damages and /or injuries are as follows (be specific - attach estimates,
bills, etc of available)
o�
1 '7
akr4& C r to
1 tn zroi - - --
4 The amount of damages claimed is $ 1 -) S- J
(Please Print)
Claimant cZ o no N t t C. k LLt?, Phone R 72 - ) Fog S '
1 1 DS 3 t.7 Fl C�RcLF,� Area Cod
Address 2 "� l E& `- ` City /State /Zip 0-0 P PL LL . 1 `7 S O l
(Also list previous address if less than 6 months)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * **
I do swear the above is true and correct.
Signed C - `7/1,- ( L._. Date _J z.t..,.,, 19 Z a6
The notification shall be filed within six (6) months of the date of injury or damage or, in the case of death, within six (6) months 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 (Article 11, Section 11 09 of the Home Rule Charter - Damage Suits)
Revised 06/03/02
Please Remit to C/ SERVICE INVOICE
t he Sprinkler
Specialists, Inc.
809 Spring Lake Cir
Garland, Texas 75043
Ilee 972-613-0214
B I L L T 0
JOB LOCATION
SOLD BY
Tl 1 Tv �i�o t— F104ICr
A
4
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TOES I wED
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ABOR
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r"HAHGES
DESCRIPTION
MATERIALS
LABOR
SUB TOTAL
OTHER CHARGES
TAx
TOTAL AMOUNT
PAYABLE ON RECEIPT