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CM-2021-350 - 12/17/20210 —RswAmo lu"47h.) rase I pi I CLAIM FOR ACTUAL MOVING EXPENSES Mm W. I'doicribuLpff lcqt.I-Lc) 17 —MW C $11; N CA Imitl N-; NA Ll Rzitdcntr 0 O.sh'-u T.rmTA. n.ait Ljsi%!-• 041- 2 .. Addtcl% at FoupcAy RijUked a)' aisle: J, -Aildre R hllo,• d To; 1111 Lcml Roll, TX 14LKI E. It. atimKiteen, TX 5 1W 4.(k,cLrraimi,tirrrvptnyAtNu�wcd UyStat.-: 5. Mlmtmmt%:: Mick 7. Kwip and Addrew Tigm(Dow): le)(DiltolfMovek Gmt NIvurx'- 2513C.R 114 our'WL YX 1861 t 6.Ccj4rcIIju-.Dlttt Wep. n.). Yr. e. —F", [a ox 21.119 5 A-ovnto(Chh- XWON F'ren'. $1494JS b kxalAhliihnlcnt Tvpa— 133,10532 c &c,rcbio,S Fipcnse% s Ii. Date rrwvrLy.,%cctutiTd -J] 14 Nrl s C.Oaso Aolutiv.) p ww tv, jo m I Fja,.rk(Dacuj:N-'A ru(nmtoe%iqn):i%.'A Tem =WKLru— I— T..1 A,....t 11. -lixownim iWwqp, 11Wk 9 -.:cmww4d and,,. .,,woed W mack dwvh.. 1,ky 4 i.,loon4 i tvqil)• qlo I U— w 1-ImItwd w dvft— tv, l"Oh 011r.l.md tu I WW Ag.,Tl ft A.- mJY .9m — fur 'V pjj --d a —116" 11. In 64-1 X iW--t•o Amtdow mia ft in"Im tubqotKd ad os.cedt,%u orcit move AR4 *04RU 4 )Anmwn ootme.iMillhe—Woo ix :ksdcd hicim 11 Oot b.1 cn... oft -lop: Urlednug .31 y 7 al, RRR 30 a -rhm rjA 7tij.' dob 7m=Lsflcm OwL k d hE i Ew I c •m4 tirc I ijW 11 ' .0 tZ K 16 WA 01�1 as mfollf. widlibc (111t I lQveeX;Z%Wd 41111S C.'AXO a7d, ZWk-J;Wk 4M'j per of SIJM A.. Al I ficml, I-.- a•Mjdomd d.—Is rteon—Wltle 1(si pinymwfvlh.s� AP am (ink, 2ov-3,V — i — u ' Q uo M E - }ng S - r F FI,E Ci gp m J � 1 'i o U C S� +Qn PP pp w ' O iJ} SFiS A oI o o ui r R "k o m Viryppp 2E ,�� N V o'n C c in Q $ N o d N SA Go I I� jg II19}}33 +03. yr $ L to L 33 s H CT �{ ipC ul IQ TLID wa m 3 O - OC r bF i a� Q _ ' r SSC777 r {� 1- 2 i FF ' idC. �I p8( QG11 r i i IN W U �$ _ i dig N W LJ Ld m ` i U O. to r r s€SC � �j�F�j Z z I1 iFor pp QL�`��1 f LL �R7 ito$� # Fr : !s 21 ih r . r Moving Expenses: Mitchell & Associates, Inc. P. O. Box 1008 Rieen.TX 76540 Tek 254.634.5541 F= 254.634.2141 htip://milche0andossocioteskilleen.com/ ec Invoice Clear Choice Insurance Invoice Date. Jun 24, 2021 Invoice Mum: 84308 Billing Through: Jul 24, 2021 Elevailon Cerlillcate (2400 E Ranclen) - Managed by 10egel Mike W) Services: bescriplion Cosl tax "X Amount Etevotton Ceriilicote 3t,000.00 $1.000,00 Subtotal: $1.000.00 $1,000,00 Amouni Due This Invoice: I $1,00D.00 Tni) Invoice h due on 612412021 ._ AccounSunn»Tnr�Y _ -- Services BTD Expenses BTD last Inv Nnnr Last Inv pate n Last Inv Amt Last Pay Aint Prev Unpaid Amt i SI,p00.0o S0.00 S0.00 S0.00 S0.00 Total Amounl Due Including This Invoice: $1,000.00 Thank you lot your buslnesst Page I of I z R 7 K C) 2 40 O a � ® e O o K m h / \ IIJ d % q G ± D C 1- ± 7 Q ± » 2 , a § 8 E � ƒ /CLk k 9 22 o ¥ 2 E / \CL U / w q § > § 7 b ; 2 k 2 m a 3 A 2 m m CITY OF KIMEN BUILDING INSPECTIONS (254) 501-7 62 CONSTRUCTJION P, RMIM51JDB.I -EATIMER..CARM. City of Killeen Building Inspections PO Box 2 329 / 1-00 'E AvenuO C Killeen, Teas 76541 254--50+1-7762 -- - - -------------------------- ------------- - - - ------_.--------.------�-- -6,/'2,8/2'1 Application Number . , . . . 21-0.0.601-008 'Date Application pin number . . . 633t88 Property Address . . 2400-E RANC]�,ER AVE Application type description NEW COMM9R IIIP& OFFTOE 9;A, X PWZA Subdivision Name . . . . . . CENTURY G4M%V Property Use p y RESTDENTxAL ----- _ Application valuation 80000 - - -- ------ --- - - ------ - -_ __------_-------- _--- - - Application _ desc DE14LRIF ICE MAOHINE -----------------------------.--_ r.-------------_ --.--i contractor . . . . . OELDRI-F ICE LW --- Structure Infor%a'tion 000 060 DELURIF ICE MACHTIJE, Const-ruction Type COMBUST -WOOD FRAME (I4E) . Qcc:upa ey 'hype . . . . . . MERCANTILE -RETAIL STORE - Flood Zone . . . . . . . . NOT FLOOD ZONE �xmi.t 'ELECTRICAL BUsILDIM PERMIT . Additional desc . . F`�x-r i't7 S'ee . . . . .00 Plan-0-heck Fee .00 Tasae Date . . . . 6/-2.8/21 Valuation 50,010 B?Wlration Dace 12./25/23. Pe-r m i t FLOOD PLP,11K FOR A A.dOl t,ional de -so OR PE Pea -)it _E r E- 70. 00 Plan Check Fee .00 IWD t :I.,s,eu, a Da.�.e . . . . 6/28/21 Valluation .0 F ANY --------------------------------------------------------------------------- —ertnit . . . . . . NEW COMMERCIAL Additional desc , - PexTt Fee 200.00 Plan Check Fee .00 ' Isau�.Date 6/28/21 Valuation . . . . 70000 EXpiration Date 12/25/21 � 'emit PLUMBING BUILDING PERMIT :Ay4i� .ional desc r pe, t. Fee, . . . .00 Plan Check Fee .00 IsS e;Dat.e , . . 6/28/21 Valuation . . . . S000 Sxpirabion Date 42/25/21 -------------.------------------------------------------------------- Other lees . . . . . . . . . CERTIFICATE OF OCCUPANCY 90.00 TECHNOLOGY FEE 10.00 i----------------- ..-------------------------- ..----------------------------- Fee summary. charged Paid Credited Due __ _ ---------------------------------- Permit -Fee -Total 270.00 270.00 .00 .00 Plan Check Total. .00 .00 .00 .00 Other Fee Total 100.00 100.00 .00 .00 Grand Total 370.00 370.00 .00 .00 t APPLICATION -FOR CEATIFICA ` 0.1= OCCU AI O LAddross of property 1 1 1 `C� t''.( �s T...,�r :R -� -_ r.. , , - - -. -•. �� -, .f+lewbundirip €x�dtingbulurng V006M Rqi - ., Pt►t No- 1 f✓ �� f--5� . EN$!nodsnarno' Brlg:n9>f6 dddrati5: r-'��_ ,-.....�.._ ,._,.._.�, �-••..-•,.•-.•--,... Legal dosorapl"pj_p[oporty, L.a1 Bloch 65-tib"16tl swinosa Owner Namo: , 1-tLj p(ovious use P11 sro u�so; y, } street Meintetlence Pee` Land Use Dosariptlon [% pi'� _ i1n11 !i}jg. Cinr�a op OCCUPANCY IS NOT PERMITTED 13EFORIE CERTIFICATE OF OCCUPANCY IS IS,SUE1 CERTIFICATE OF OCCUPANCIES ARE NOT TRANMRARLE I undalSto(1d ihM the usa is lim°lod to tho proposed usu t hliy'u dt4sctipvd, Final mNi s, We not permitted u IMI first oblaln,ng a pormii / t , Signature: 4`' f j ' �. gal°. 1rYAT R ) am requesiing Bar4ico aE th:e Ovation. If tho CotliPmlp of oaclpa-my z (lot 4PProvOtt. V.4i4+ iofVpr& Will b9 dt&WWW14 SERVICE Signafute; ddiv. INSPEC77ON RjESULT-S FOR OFFICIAL USE ONLY Cbnslrual Rif Type:,- 0cc4pancy0Inss,l,c,iZonlirV' Pro Spnnkior Required YES / PO Nlsx:rriurn OcIm>am Load. pm .. tNq, faspECTtnnd I Approved Dale .� "-5at,u WnsrL t itprovod,Dt+to (Rti4 LiQIf-7T82) (254•601.8372) , ] By. BY _ F1m1t 0j2PA0l*EIq Approved NO � _ —_ - - �BPA•T - — - Appicived Unto: Y LWW9584� (264.504.6:it5� 1 gPAnvurfwY' Approved Date. Pulrt rc Won?,$8{87') By, (264•616-31M By. i Y 60POWIon dare: 'Tfntt:: $ ? 1 (109 RUN 7tI t� �+�+ 41 E;Jllepn �irtkiinglnspBction 1pQ is /lvonur3 C Hi loan+ i[l�il: � i� I I I< :a..- • }: �y I} L c m a) I P14r 1 H I H ri I 4-� S 1 1 , Cj 41 I r a� 1 rd r-i �! '� ! ri rd i-C)44 P4 R 1 I C 1 I i IZH 1 0 OD co L I H H A I I o r 1 ,HHD 1 4 I 1 7 CD H I I d a m �-4 1 H I t * 1 If4 I PQ I 0 qi♦ I If2i ,p- P4 H I 1 Z - I o + H o ff I UZ I ONN I OCNI H W >n I p.., O [o Q - 1 • 1 1 • o U kD ry 10 O I ! o 1 W H I 0 �. 1'�'I �y i I I W r 0ri lej I o EA TO 44 �. 1 , :' A Hr) 0 H I Q 1 'fin i r ' r `'.� " r'F 1 1 0 4�i �-I �� t v I �� I ] 'raj + 1 4a �.� U !� 1 r+l r rat ' I r# �rl 4. �+ a k j; i 4 H 4•..a (� 1 1-4 4 44 E.,j �j # *4 ,#,1'+ I Pi1 0 0 O U r i I � 'a I F Skid Pro Services, LLC County Road 3010 Lampasas, TX 75550 US (254)383.9918 skidproserv[cea(ftmall.tom www,skidprosenrfoee,corn -0/� -ZO L w/v John purser 1037 06/2912021 06129/2021 Transportation Of property F350 and BT 25GN HD Flatbed trailer used to transport customers 150.00 Ice house from Round Rock to Killeen. 150.00 $0.00 �AsAs rR`c •i f.: yea► @EPP 1550 N. Hwy 281 • Lampasas, TX 76550 Ph: 512-556-3000 - FAX: 512-556-3001 BILL TO REM IT TO: 1550 N. Hwy 281 Lampasas, TX 76550 INVOICE DATE INVOICE NO. SHIP TO F P.O. NO. TERMS REP FOB PROJECT DESCRIPTION QTY RATE AMOUNT A _. . Lampasas Trucking & Red] -Mix will not be held responsible for damage to concrete or asphalt damaged during the delivery of products ordered. X TITLE PASSES HERE AT THE TIME Total OF SALE PRIOR TO DELIVERY ; Fj If marked, this Is high risk lift, and Lampasas Trucking and Redi-Mix is not responsible for Item or Items on hook. Reestablishment Expenses: /100 �' 4T Construction Plunohing Services P.O. Box 135 Bertram, TX 78605 Phone: 512-74&9250 Bma& 411const©grnail.corn Bill To: Dellrif Ice, LLC 3989 Lord Byron Circle Round Rock, TX 78664 Description Texas State Board of Plumbing Examiners 929E 41st St. Austin, TX 78751 512-936-5200 License NM-37296 Invoice Invoice M 437 Invoice Date: 7/19/2021 Amount Total $3, 000.00 Payments/Credits $0.00 Balance Due $3,000,00 w•,em Steve's Commercial Services, LLC 300 County Glenn Leander, TX 78641 D(-., i{: July 22, 2021 T,) Hurray Ice NlRdline AMn1 Connecting YOU to POWER S!np fo Munmy ice Machine CV "'s ise Ojder 1 2 Mcn 17 HRS 125.00 EA 2,125.00 T1Taterials 3/8 Self Tappecs 60.00 60.00 1 5/8"xl 2" Oval Eyc Bolt w/Nut HDG 7.30 7.30 1 5/9" GALY Squarc \Vashcr 2.04 2.04 180 t1L XHHW 250 STR BLK 254.88 254.88 22 AL XHH\V 44 STR BLK 7.97 7.97 3 2-1/2" MET L/T, NON-UL 25' 32.57 32.57 10 2-1/2" FMT CONDUIT 80.33 90.33 1 2-1/2". 90D R'MT RLB 25.95 25.95 15 #4 SOL BARE COPPF,R 200' 24.29 24.29 3 2-1/2" PLASTIC BUSHINGS 2.09 2.09 2 2-1/2" DIECAST 1 n1T CONCRFTR 16.12 16.12 TIG14T CONNECTORS 2 2-1/2" DTECAST EMT CONCRETE 18.84 18.84 TTGHT COUPLING 2 2-1/2" F.i41T/RIGTD CONDUIT 2.69 2.69 HANGER 20 SCH 40'h" 10' PVC CONDUIT 17.13 17.13 1 SA\VZAIA- BLADE I BT 9LG 16.24 16-24 METAL THIN KERF 5PK 100 1 /4XI FLNDER WASHER ZINC 6.52 6.52 3 5/8"X8' CU GROUND ROD 35,3 35.23 (512) 803•-8923 � jstevegeorger@yahoo.com 1 CIRCUIT BRKR ENCLOSURE 93.40 93.40 OUTDOOR 1 CC BRKR 200A/3 POLF, 240V 10K 31357 313.57 i SNG POSIT SleT 200A RINGLFSS 24257 242.57 W/i EVER BYPASS UL GRN 3 3/8"-3/4" 1 /0 GROUND CLAMP 5.94 5.94 1 1-1 /4"-3" ADJ. VARE HOLDER 11.41 11.41 1 HUB ADAVITR 1.G TO SM 12.95 12.85 OPENING 4 2-1/2" EMT/RIGID CONDUIT 5.38 5.38 HANGER 1 2-1/2" HUB FOR ENC IIIETER 11.47 11.47 SOCKET ACCESSORIES 8 4" RIGID ELECTRO GALV 33.72 33,72 CONDUIT CLAMP 1 2-1/2X4 RGD NIP 10.93 10.93 2 2-1/2" STEEL LOCKNL:T 4.16 4.16 1 2-1/2" PLASTIC BUSHING .69 .69 1 2-1/2" WEATHERHEAD 31.89 31.89 1 2.5" TYPE 3R PLATF TYPE HUB 36.09 36.09 FOR DG DH DT THROUGH 2 20 2-1/2" IMC CONDUIT 371.03 371.03 2 2-1/2" SEALTIGHT STRAIGHT 172.85 172.85 DIRCAST CONNECTOR 2 2-1/2" RIGID ELECTRO GALV 6.04 6.04 STRUT STRAP Subtotal 4099A 8 Sales Tax 162.86 Shipping & Handling N/A Total Due 4,262.04 Til-MV , olj ifj;" ,'OVr blishlaSs! Please mcil;e check jxiyable to Steve's Commercial Services, LLC Due Ul7on Receipt Pc ge'. 2 of 2 344 Quarry Rd Nolanvilie, TX 76569 �-TEXMIX 294-293-6180 Sf 11 r: TEEMS AND CONDITIONS Drivers are prohibited from delivering concrete except under the truck's own power, and where site conditions permit the safe and proper operation of the equipment. Drivers are not permitted to go beyond the curb line. except upon the authorization of the customer and his acceptance of risk for any loss or damage to the properly or our equipment This Includes any wrecker or towing charges for gelrng out of the location. Delivery / Terms Accep eft By.{ Customer's Representative CAUTION To amid harm to senaiave shins, minimize camac{with wel cement or concrete (a.a wear "active clothing) Where contact occurs (whether diroatlyar lhmuoh saturated clothing). wash Iha"Ny '1 r'. SUB TOTAL DISCOUNT TAX TOTAL PREVIOUS TOTAL GRAND TOTAL UNLOADING N.t" jt We allow minutes unloading time free: any additional lime will be billed at our normal rate. All deliveries are subject to seller's normal terms and conditions for delivery and credit at gme of delivery. Drivers are not permitted to add water to the mix to exceed the maximum slump. Additional water added to his concrete will reduce Its strength. Any water added is at customer s risk. WAITING TIME: $60.00 per hr unload: Fig, change X Water added on job gals. Water requested by CONCRETE re!*hred and WATER added at the request of customer subject to Ceftllons of sale and delrvary on rcverae aide 5 " 5 Tex -Mix Concrete 9210 Ranch Road 2243 Leander, TX 78641 512-778-6515 8/2/2021 9:33:06 AM Reference Number: 407886638 Total: $140.37 Transaction Type: Sale Transaction Status: Card Brand: Card Number: Entry Method: Approval Code: Approval Message: AVS Result: CSC Result: Customer Name: Invoice: Pending Settlement Visa xxxxxxxxxxxx5981 Keyed 09197C EXACT MATCH Full Exact Match Match ORD#196 JOHN MURRAY Please sign here to agree to payment. C�cyR. Statement of Charges PO Box 910104 Date: 6/22/2021 Dallas TX 75391-0104 Project No: 3536088 Transaction ID: 14251 Pedraza, Carmen 254-493-8347 Carmen.Pedraza@oncor.com Bill To: Project Location Street Address: Dellrif Ice, LLC 2400 E RANCIER AVENUE 3989 Lord Byron Circle City: Killeen County: Bell DescriptionBilling Oncor will install three 15 KVA 14.4 transformers providing $3,790.40 Price quoted is valid for thirty (30) days from the date of this document. Total I 13WA01111 0 to] Remittance Options: Check Instructions Make all checks payable to Oncor Electric Delivery Company, LLC OR Electronic Funds Transfer 1 EFT Instructions JP Morgan Chase Bank 1 Dallas Account#08806169791 Routing #'s ABA: 021-000-021 (Wire Transfer) ABA: 111-000-614 (ACH payments) Federal Tax ID: 75-2967830 If an EFT is made please have your financial institutlon include the tracking number Also, email Confirmation number and transfer date to Deborah.Gadd2@oncor.com THANK YOU FOR YOUR BUSINESS! - REMITTANCE SLIP Detach this portion of the invoice to accompany payment and mail it with your check Checks are to be made payable to Oncor Electric Delivery Company, LLC Please retain the above statement for your records Remit To Customer Name Oncor Electric Delivery Company, LLC Dellrif Ice, LLC Attn: Gadd, Lynne; Pedraza, Carmen Project Number. 3536088 PO Box 910104]Transaction ID: 14251 Dallas TX 75391-0104 Total Amount Paid: $3,790.40 Letter of Agreement Page 1 of 2 WR Number; 3536088 Transaction ID: 14251 ESID #: DELRIF ICE, LLC ('Customer') ties requested that Oncor Electric Delivery Company LLC, a Delaware limited liability company (-Company'), provide additional electric facilities sufficient to provide etectric service for 14.2 kW or 1 lots lunits at 2400 E RANCIER, KILLEEN PAYMENT BY CUSTOMER No Cost to Customer - Pursuant to company's Tariff for Retail Delivery Service, the extension length or cost of the ID additional electric facilities Is withln the amount allowed by the Tariff and can be Installed at no cost to the customer. Cost to Customer - Pursuant to companyl's Tariff for Retail Delivery Service, Customer Is responsible for S._ s payment for the Customer's portion of the cost of installation of Company's electric delivery facilities. Such payment to be and remain the properly of the Company. Customer's payment in full is due at the time this agreement IS returned to Company. GENERAL CONDITIONS Company at all times shall have title to and complete ownership and control over said facilities Customer is responsible for providing, without cost to the Company. (1) suitable space on customer's premises for the Installation of the facilities; and (2) rough site grading to final grade along the route of the facilities and clearing the area of all obstructions. Customer has disclosed to Company all underground fait cities owned by Customer or any other party that is not a public utility or governmental entity, that are located within real property owned by Customer. In the event that Customer has failed to do so, or In the event of the existence of such facilit'es of whch Customer has no knowledge. Company, its agents and conlractors, shall have no liability, of any nature whatsoeve% to Customer, or Customer's agents or assignees, for any actual or consequential damages resulting from damage to such undisclosed or unknr.wn fetilitles. Th-s agreement supersedes all previous agreements or represenlatlon, either written or oral, between Company and Customer made with respect to the matters herein contained, and when duty executed constitutes the agreement between the parties hereto and is not binding upon Company unless and until signed by one of its duly authorized representatives. Th's agreement, If not accepted within 31} days of the date of this letter, will be of no foree and effect. Acceptance shall consist of delivery of an executed copy of this agreement to Company_ Please be aware that the start date of this project will be no earter than three weeks following the exe:uticn of this agreement along with any payment that may be required pursuant to Company's Tariff for Retail DeWery Service. A more definitive installation schedule will be provided upon your delivery of this agreement to assist in you -planning for this project. Under normal circumstances and all Agreement Conditions are met construction wf;l be completed within 90 days unless otherwise noted. WWW,ONCOR.COM fetter of Agreement Page 2 of 2 WR #: 3536088 Transaction ID: 14251 OTHER SPECIAL CONDITIONS ❑ All proposed Oncor Electric Delivery facilities necessary to provide service to the Customer are overhead ❑ Oncor will provide any/all civil construction necessary to instatl Oncor Electric Delivery underground facilities on the Customers premises, Including labor and material. ❑ Customer has elected to provide the civil construction including material and labor to Company sped0catlons, and without cost to Company, required for Company facilities to reduce any CIAC amount owed and/or to Improve overall project coordination. ❑ Customer to trlm trees to provide clear Right of Way for proposed Oncor Electric Delivery facilities in accordance with Oncor Electnc Delivery guidelines. oncor will install three 15 KVA 14.4 transformers providing 120/208 votage to an ice machine. Oncor will install a #2 quad overhead service to meter pole. If DELRIF ICE, LLC agrees to the conditions set forth In this agreement, please execute the agreement and return to Company Representative within 30 days. ACCEPTED BY COMPANY: Oncor Electric Delivery Company LLC eaau6lyned 6y: YdFSEIfOe Signature Carmen Pedraza Oncor Representative Printed Name senior Utility Designer Oncor Representative Title 06/22/2021 1 3:18:55 PM CDT Date Signed ACCEPTED BY CUSTOMER DELRIF ICE, LLC r scq"y�fgRny Name Grne4' Mvrr,v 9WWj8Mlieptat1ve Signature Grant Murray Customer Representative Printed Name Partner Customer Representative Title 06/22/2021 1 3:21:04 PM CDT Date Signed WWW.ONCOR.COM DOCUSign Envelope ID: 96A8595D-3B89-4DCC--935C.-BBEE78A880S0 blo, Your Mobile Home Parts Store Order <cs@mobilehomepartsstore.com> Reply -to: cs@mobilehomepartsstore_com To: DELLRIFICE@gmail.com Mobile R ME Wed, Jun 23, 2021 at 9.54 AM Thank you for your order SH0:1 ALL 4LPART;,F?',Ts Q A' MHPS LATE T NEWS New Products Arriving Daily - Shop Now! Dear JOHN W PURSER, We appreciate your shopping with us and hope that you had an enjoyable experience. This email confirms your order received on 06/23/2021. Purchasing Infonnatlon: E-mail Address: DEI LRIFICE@GMAIL COM Billing Address Shipping Address JOHN W PURSER JOHN W PURSER 1301 HIGHWATER DRIVE 1301 HIGHWATER DRIVE GEORGETOWN, TX 78628 GEORGETOWN, TX 78628 (512) 350 - 3342 (512) 350 - 3342 Order Summary: Order #: 703936 Code Product Oty 503150 8' Frame Tie With Hook 20 503140 Slotted Anchor Bolt with Nut 20 503122 Expansion Anchor 20 Shipping: UPS 3 Day Select: Sales Tax: Total for this Order, Please note that If your item(s) require different shipment methods, your order will be shipped in multiple packages and our website will provide you with information about the status of each package. Don't worry though, your total shipping charges for this order will not exceed the amount Price/Ea. Total 4.99 $99.80 1.59 $31.80 5.99 $119.80 $789.96 $0,00 $441.36 )04-]N FUR�ER I k(:QU1t +t �6505 i MaY 2� - j LPa 27. ,K t l Nte D&e D--mfptfon CGOI C601 M03; 06-05 OGIG 05? 16 Ctit`15 G622 C623 06i3 C52/ C6 G2 0602 C6 N CeO7 06' 17 CTi'17 C617 06 e3 C6-24 OG24 C675 Rafanenta lkaxtnt Nu-ixr Ntriber A-rxmt T-All NV3 U HOME PARTS STOK 910 277--7202 NC 0391 8505 441.36 Invoice 711) L•' ]RU ST X 76.341i &O-W, WF L i.0 041111,4— 1, 7r ekwmwL� I %?U:g Total ;'1C/2021 Skid Pro Services 254-383-9918 www.sicidproservices.com Bill to Terms 07/02/2021 1 inch rock Gmail - Invoice 1038 from Skid Pro Services John Purser Dell Rif Ice Due on receipt $360.00 12 tons of 1 inch rock for use in a French drain located at 2400 East Rancier Avenue, Killeen, TX 07/02/2021 Material delivery Delivery of 1 inch rocks from 344 Quarry Road, Belton, TX to 2400 East Rancier Avetwe, Killeen, TX Credit card administrative fee $19.80 3% fee to cover the bank processing charge Balance due $679.80 https:llmall.google.camlmaillul0?ik=dd2682eb86&view=pt&search=ail&permmsgld=msg-f%3Ai 704220320231224275&slmpl=msg4%3A17042203202... 213 inTUIT quickbooks. Payment receipt You paid $679.80 to SM Pro Services, LLC on July 6, 2021 Invoice no. 1038 Invoice amount $679.80 Total $679.80 Payment method VISA****5981 Authorization ID MQ0022896455 Thank you Ze Skid Pro Services, LLC (254) 383-9918 i .� } -•�{..i z t�7a:.�.{.��.}�.v�`•�•V��}f•.r3. ..li�•!�- - n {• r Off-^ � - _�. �...,n �'i .� .: �-'%.'...=J 1.'f \71����,.ti �� lril-1i., q�.{!..l { 'J i.�l... i�5'j y'�{�{: rf •Ji .� t3. C.1.1'�.���F"i: y_L'� r���r Ste://..�i .J 1E5 1 Skid Pro Services, L.L,C County Road 3010 Lampasas, TX 76550 US (254) 383.9918 skidproc eroicecQgmail.com www.akldpro!tervices.com John Purser Dell Rif Ice 0712WO21 07/28/2021 Equipment haul fee SVL-65-2 Skid Steer Transportation of equipment to and from customers Job site. 1042 07/29/2021 Due on receipt 07/29/2021 160.00 225.00 $375.00 Cs - intuit k)quickbooks. Payment receipt You paid $375.00 to SIdd Pro Services, LLC on August 3, 2021 Invoice no. Invoice amount Total Payment method Authorization ID Thank you Skid Pro Services, LLC (254) 383-9918 T 1042 $375.00 $375.00 VISA****5981 MU0020747071 Skid Pro Services, Lt_C County Road 3010 Lampassa. TX 76550 US 1254j 383-9918 sk dproservices@gmall.com www. skldproservlces.cam .i ' 1040 John Purser j. 07/2712021 Dell Rd Ice ' . 0712712021 SVL-65-2 Skid Steer 225.00 Equipment haul fee Transportation of equipment to and from customers job site. 160.00 $375.00 quickbooks. Payment receipt You paid $375.00 to SIdd Pro Services, LLC on July 28, 2021 Invoice no. Invoice amount Total Payment method Authorization ID Thank you Skid Pro Services, LLC (2 54) 383-9918 GC"'O1'1ty _.sC�S ?.S, i;' 6J 1040 $375.00 $375.00 VISA****5981 MQ0028115084 BRANCH LOCATION PLEASE REMIT TO: KLN P.O. BOX 208439 254-699-3770 Dallas, TX 75320-8439 Is%14EIPMen AFTER HR#:(254) 4321689 CUSTOMER#2.11543 PH614E#830-798-5351 MURRAY MEDICAL INC PO BOX 38 BURNET, TX 78611 CONTACT: GRANT 8307985351 TERRITORY:306 DRIVER LICENSE: LICENSE PLATE: JOB ADDRESS; 2400 E RANCIER AVE KILLEEN TX 76543 DEL. INSTRUCTIONS: QUOTE CONTRACT TYPE: PARTIAL RETURN INVOICE # 8911493-001 PO # VERBAUGRANT JOB # 2400 E RANGIER JOB NAME: 2400 E RANCIER ORDERED BY: MR MURRAYICODYL107:0 DATEITIME OUT: 7114121 9:44 AM DATEITIME IN: 7114/21 4:51 PM PROCESSED BY: JASONB RETURN LOC: KLN RENTAL RATES ARE FOR EACH ITEM AND DO NOT INCLUDE FUEL OR DELIVERY ITEM EQUIPMENT DESCRIPTION RATES QTY EQUIP. # DAY WEEK 4 WEEK 1 SKIDSTEER-AUGER ATTACHMENT W/ PIN 110.50 380.00 716.25 180835 15C Applied Promo: SUN21 1 AUGER BIT-24" SKID 156333 24" AUGER/REX Applied Promo: SUN21 SALES ITEMS: Qty Item number 1 TERP 1.5 TEXAS CLEAN AIR TAX 1.5% SIGNA Unit Price EA 4� 4 PAGE: 1 EXTENDED PRICE 110.50 N/C N/C SUB TOTAL: 110.50 CUSTOMER PROTECTION PLAN: 16.58 TAX: 10.49 1m TOTAL AMOUNT DUE: 137.57 • 1 [0 HAVE C_OUIPIAFNT PfCKED UP. PERMITTED BY LAW ON PAST DUE ACCOUNTS. A SERVICEICLEANING CHARGE MAY RESULT DUE TO EQUIPMENT BEING RETURNED DAMAGED OR IN NEED OF EXCESSIVE CLEANING. THE ENVIRONMENTAL FEE 18 NOT REGULATED NOR COLLECTED BY OR FOR ANY GOVERNMENTAL AGENCY. UNLAWFUL FAILURE TO RETURN RENTED PROPERTY MAY BE A FELONY. FINES, CRIMINAL PROSECUTION, ANWOR IMPRISONMENT COULD RESULT. BY SIGNING ABOVE I AGREE TO TERMS ON FRONT AND BACK OF THIS CONTRACT. I ALSO ACKNOWLEDGE RECEIVING INSTRUCTIONS AS TO THE SAFE AND PROPER USE OF THE EQUIPMENT. IN ADDITION, I AGREE TO RECEIVE ELECTRONIC COMMUNICATIONS FROM SUNSTATE EQUIPMENT INCLUDING PHONE CALLS, EMAILS AND TEXT MESSAGES. TO READ MORE ABOUT THE TERMS OF USE REGARDING THESE COMMUNICATIONS, PLEASE VISIT W W W.SUNSTATEEGUIP.COMITERMSOFUSE. BRANCH LOCATION PLEASE REMIT TO: Awk KLN P.O. BOX 208439 � N� 254-699-3770 Dallas, TX 75320-8439 S�E4ulpmont AFTER HR#:(254) 432-1689 CUSTOMER # 111543 PHONE# 830-798-5351 MURRAY MEDICAL INC PO 'BOX 38 BURNET, TX 78611 CONTRACT TYPE: RENTAL RETURN INVOICE # 8911493.002 PO # VERBALIGRANT JOB # 2400 E RANCIER JOB NAME: 2400 E RANGIER ORDERED BY: MR MURRAYICODYL107:0 DATEITIME OUT: 7/14121 9:44 AM DATE/TIME IN: 7119121 7:00 AM CONTACT: GRANT 8307985351 TERRITORY: 306 PROCESSED BY: MARKMO DRIVER LICENSE: LICENSE PLATE: RETURN LOC: KLN JOB ADDRESS: 2400 E RANCIER AVE KILLEEN TX 76543 DEL. INSTRUCTIONS: QUOTE RENTAL RATES ARE FOR EACH ITEM AND DO NOT INCLUDE FUEL OR DELIVERY j PAGE: 1 ITEM EQUIPMENT DESCRIPTION RATES EXTENDED QTY EQUIP. # DAY WEEK 4 WEEK PRICE 1 LOADER -SKID 1500-2100LB ROPS 301.75 788.00 1488.75 788.00 127973 S530 * HR OUT: 1885.00 HR IN: 1891.70 SIN: ALR811536 1 Applied Promo: SUN21 TRAILER -FLAT BED 2 AXLE 42.50 148.00 240.00 127.50 147593 FT-12 IT-1 SIN: 5FTEH2129G2002375 (1 Applied Promo: SUN21 N/C 2 CHAIN TIE DOWN 201 Applied Promo: SUN21 N/C 2 BINDER -RATCHET 1 Applied Promo: SUN21 SKIDSTEER-BUCKET 68" UNIV N/C 148905 S175/530-SMOOTH SIN: N/A SALES ITEMS: Qty Item number Unit Price I TERP 1.5 EA N/C TEXAS CLEAN AIR TAX 1.5$ EA 1.580 1.58 1 PPT HB 2476 - PERSONAL PROPERTY TAX 1 ENV EA 15.000 15.00 ENVIRONMENTAL CHARGE 4 DIESEL EA 8.250 33.00 DIESEL FUEL SUB TOTAL: 965.08 A discount of 219.50 has been applied. CUSTOMER PROTECTION PLAN: 137.33 TAX: 88.23 TOTAL AMOUNT DUE: 1190.64 CONTINUESRENT 254-699-3770 10 HAVE EQUIPMENT CUSTOMER SIGNATURE PRINT CUSTOMER'S FULL NAME DELIVERED BY DATE TERMS: NET 30 UPON ISSUANCE OF INVOICE (INVOICED ). SERVICE E59ARGES AT THE LESSER RATE OF 1.5% PER MONTH OR THE MAXIMUM RATE PERM1179D BY LAW ON PAST DUE ACCOUNTS. A SERVICE/CLEANING CHARGE MAY RESULT DUE TO EQUIPMENT BEING RETURNED DAMAGED OR IN NEED OF EXCESSIVE CLEANING. THE ENVIRONMENTAL FEE IS NOT REGULATED NOR COLLECTED BY OR FOR ANY GOVERNMENTAL AGENCY. UNLAWFUL FAILURE TO RETURN RENTED PROPERTY MAY BE A FELONY. FINES. CRIMINAL PROSECUTION, AND/OR IMPRISONMENT COULD RESULT. BY SIGNING ABOVE I AGREE TO TERMS ON FRONT AND BACK OF THIS CONTRACT. I ALSO ACKNOWLEDGE RECEIVING INSTRUCTIONS AS TO THE SAFE AND PROPER USE OF THE EQUIPMENT. IN ADDITION, I AGREE TO RECEIVE ELECTRONIC COMMUNICATIONS FROM SUNSTATE. EQUIPMENT INCLUDING PHONE CALLS, EMAILS AND TEXT MESSAGES. TO READ MORE ABOUT THE TERMS OF USE REGARDING THESE COMMUNICATIONS, PLEASE VISIT W W W.SUNSTATEEQUIP.COMITERMSOFUSE. Revised OW20 AT&BRANCH LOCATION PLEASE REMIT TO: KLN P.O. BOX 208439 1r�rr � 254-699-•3770 Dallas, TX 75320-8439 �HanCG m+�� t AFTER HR#:(254) 432-1689 CUSTOMER # 111543 PHONE# 830-798-5351 MURRAY MEDICAL INC PO BOX 38 BURNET, TX 78611 CONTRACT TYPE: RENTAL RETURN INVOICE # 8914859-001 PO # VERBAL JOB # 2400 RANGIER JOB NAME: 2400 E RANGIER ORDERED BY: GRANTIJASON13I13:33 DATE/TIME OUT: 7116121 1:33 PM DATEITIME IN: 7/16121 3:50 PM CONTACT: GRANT 830-798-5351 TERRITORY; 306 PROCESSED BY: JASONB DRIVER LICENSE: LICENSE PLATE: RETURN LOG: KLN JOB ADDRESS: 2400 E RANCIER AVE KILLEEN TX 76543 DEL. INSTRUCTIONS: RENTAL RATES ARE FOR EACH ITEM AND DO NOT INCLUDE FUEL OR DELIVERY I PAGE: 1 ITEM EQUIPMENT DESCRIPTION RATES EXTENDED QTY EQUIP, # DAY WEEK 4 WEEK PRICE I AIR COMPRESSOR-185CFM TOWABLE DIESEL 182.75 436.00 810.00 182.75 181931 C185 * HR OUT: 1192.10 HR IN: 1792.60 S/N: 493436UDADG87 Applied Promo: SUN21 1 AIR-3/4"X50' HOSE 9.35 17.60 33.00 N/C Applied Promo: SUN21 1 AIR TOOLS --HAMMER 60# "T" 80.00 195.00 440.00 80.00 135501 M160 S/N: 411571 1 BIT-1 1/8" ASPHALT CUTTER 12.75 23.20 43.50 12.15 Applied Promo: SON21 SALES ITEMS: Qty Item number Unit Price 1 TERP 1.5 EA 4.977 4.98 TEXAS CLEAN AIR TAX 1.5% 1 PPT EA .370 .37 HB 2476 - PERSONAL PROPERTY TAX 1 ENV EA 15.000 k 15.00 ENVIRONMENTAL CHARGE V SUB TOTAL: 295.85 A discount of 36.15 has been applied. CUSTOMER PROTECTION PLAN: 41.32 TAX: 27.41 TOTAL AMOUNT DUE: 364.58 254-699-3770 CUSTOMER SIGNATURE PRINT CUSTOMER'S FULL NAME DELIVERED BY DATE TERMS: NET 30 PO ISSUANCE OF INVOICE (INVOICE DATE). SERVICE CHARGES AT THE LESSER RATE OF 1.5% PER MONTH OR THE MAXIMUM RATE PERMITTED BY LAW ON PAST DUE ACCOUNTS. A SERVICEICLEANINO CHARGE MAY RESULT DUE TO EQUIPMENT BEING RETURNED DAMAGED OR IN NEED OF EXCESSIVE CLEANING, THE ENVIRONMENTAL FEE IS NOT REGULATED NOR COLLECTED BY OR FOR ANY GOVERNMENTAL AGENCY. UNLAWFUL FAILURE TO RETURN RENTED PROPERTY MAY BE A FELONY. FINES, CRIMINAL PROSECUTION, ANOIOR IMPRISONMENT COULD RESULT. BY SIGNING ABOVE I AGREE TO TERMS ON FRONT AND SACK OF THIS CONTRACT. I ALSO ACKNOWLEDGE RECEIVING INSTRUCTIONS AS TO THE SAFE AND PROPER USE OF THE EQUIPMENT. IN ADDITION, I AGREE TO RECEIVE ELECTRONIC COMMUNICATIONS FROM SUNSTATE EQUIPMENT INCLUDING PHONE CALLS, EMAILS AND TEXT MESSAGES. TO READ MORE ABOUT THE TERMS OF USE REGARDING THESE COMMUNICATIONS. PLEASE VISIT WWW.SUN STATEEQUIP.COM/TERMSOFUSE. Revised 09120 BRANCH LOCATION PLEASE REMIT TO: KLN P.O. BOX 208439 N254--699-3770 Dallas, TX 75320.8439 A " men! Co. �� AFTER HRM(254) 432.1889 CUSTOMER# 111543 PHONE# 830-7 98-5351 MURRAY MEDICAL XNC PO BOX 38 BURNET, TX 78611 CONTRACT TYPE: RENTAL RETURN INVOICE # 8911480.001 PO 4 VERBALIGRANT JOB # 2400 E RANCIER JOB NAME: 2400 E RANGIER ORDERED BY: MR MURRAY/CODYL/07:0 DATE/TIME OUT: 7114121 9:37 AM DATEITIME IN: 7/14/21 4:66 PM CONTACT: GRANT 830 79B 5351 TERRITORY: 30 6 PROCESSED BY: 3ASONB DRIVER LICENSE: LICENSE PLATE: RETURN LOG: KLN JOBADDRESS: 2400 E RANCIER AVE KILLEEN TX 76543 DEL. INSTRUCTIONS: RENTAL RATES ARE FOR EACH ITEM AND DO NOT INCLUDE FUEL OR DELIVERY PAGE : 1 ITEM EQUIPMENT DESCRIPTION RATES EXTENDED OTY EQUIP. # DAY WEEK 4 WEEK PRICE 1 SAW-14" CONC W/B SELF PROPELLED GAS 102.00 316.00 806.25 102.00 150000 FS513 S/N: 020151700010 Applied Promo: SUN21 1 BLADE-14" DMD ASP WET 1" 40.00 130.00 135.00 40.00 194662 HS10 S/N: N/A SALES ITEMS: Oty Item number Unit Price 1 ENV EA 15.000 15.00 ENVIRONMENTAL CHARGE 1 "UD SUB TOTAL: 157.00 A discount of 18.00 has been applied. CUSTOMER PROTECTION PLAN: 21.30 TAX: 14.72 TOTAL AMOUNT DUE: 193.02 RENT CONTINUES UNTIL YOU 254-699-3770 TO HAVE EQUIPMENTRCKE0 UP. I CUSTOMER SIGNATURE 11 PRINT CUSTOMER'S FULL NAME 1iDELIVERED BY 1UA I-E: II PERMITTED BY LAW ON PAST DUE ACCOUNTS. A SERVICEICLEANING CHARGE MAY RESULT DUE TO EQUIPMENT BEING RETURNED DAMAGED OR IN NEED OF EXCESSIVE CLEANING. THE ENVIRONMENTAL FEE IS NOT REGULATED NOR COLLECTED BY OR FOR ANY GOVERNMENTAL AGENCY. UNLAWFUL FAILURE TO RETURN RENTED PROPERTY MAY BE A FELONY. FINES, CRIMINAL PROSECUTION, AND/OR IMPRISONMENT COULD RESULT. BY SIGNING ABOVE I AGREE TO TERMS ON FRONT AND BACK OF THIS CONTRACT. I ALSO ACKNOWLEDGE RECEIVING INSTRUCTIONS AS TO THE SAFE AND PROPER USE OF THE EQUIPMENT, IN ADDITION, I AGREE TO RECEIVE ELECTRONIC COMMUNICATIONS FROM SUNSTATE EQUIPMENT INCLUDING PRONE CALLS, EMAIL$ AND TEXT MESSAGES. TO READ MORE ABOUT THE TERMS OF USE REGARDING THESE COMMUNICATIONS, PLEASE VISIT W W W.SU NSTATEEOUIP.COMYTERMSOFUSE. Fisher's Iron & Metal Ind. P. O. Box 501 Marble Palls, TX 78654 Sold To Dell Rif 512-318-0785 John Purser Deliriftce@gmail.com Ship To Sales Receipt Date Sale No. 6125t2021 48832 Check No. Payment Method Visa aty Description Rate Amount 1 4" Galvanized Sch. 40 Pipe 21'pes 556.151 556.15T 1 Welding Minimum Charge 30.00 30.00T Job- weld cap onto pipe 1 CTMA ART cap for pipe 28.69 28.691' Irk] 1 M- AA4?m,.ti over i c000noo t+ ti �O rl i tl"�h1CVY �fJJF i �O i .Mc � mN8maV V--r�1r7 Q ,w Q �' C CO 4i u r r a..� O V o ~0—i I PC cc cc O TL�►JWCCc Lo C%3� OQ �� L1CG�IYFcz Fisher Family Owned and Operated. Trusted, Tried and True For Over 3 Generations! Thank You And God Bless! Subtotal $614.84 Sales Tax (8.25%) $30.72 All materials are subject to availability and prior sale. Total Quotations are good for 24 hours, as prices are changing fr $665.56 Phone # Fax # E-mail 830-693-7000 830-693-7170 rishersmeials@gmail.com Selling Store: Terms: our order #: Salesperson: /5b& Tax ID #: PO. #: S70RF. coop IT Eh7 D[SCRIPTIOtJ OTY U1G9 UNIT PRICE UIIA s=Xi[NPPa PRICE TAX Sub -total Tax "4 T:tx TOTAL CAP m LO/� ?C W �+a) L C) C3 00 �-y A e1 V tJ uJ a. 0 tD U H U pN f/7 w an U ,-L 0 w Z C-� O 0 uJ a s a: X rc 3* 69 X (� co z� tJ_ XLU = t-- --j w t" CD r CDC> Ln G Q � r L[/]wl— cr�ap 1� CL U LtJ O pp G G F-3 CD O CD Q CM Q C - _ � ^F m O w x 712812021 amazon Order Placed: July 23, 2021 Amazon.com order number: Order Total: $269.85 AmazonSmile - Order 111-9901131.8053830 Print this page for your records. 111-9901131-8053830 Supporting: 4 WHEEL TO HEAL, Inc Shipped on My 24, 2021 Items Ordered Price 1 of: Watts 314" Reduced Injection Check/Back Pressure, Valve Assembly $365.27 Sold by: Arnazon.com Services LLC Condition: New Shipping Address: DELLRIF ICE, LLC 1301 HIGHWATER DR GEORGETOWN, TX 78628-2393 United States Shipping Speed: One -Day Shipping Payment information Payment Method: Item(s) Subtotal: $365.27 Visa I Last digits: 5981 Shipping & Handling: $0.00 Gift Card � Billing address Total before to $� 365.27 {1, Estimated tax to be collecte $30,13 �1 John W Purser Gift Card Amoun�lt`-i2S55�+ JOHN W PURSER 3989 LORD BYRON CIR _-_ ROUND ROCK, TX 78664-3935 Grand Total: $269.85 United States Credit Card transactions Visa ending in 5981: July 24, 2021: $269.85 To view the status of your order, return to Qrde[ Summary. Have an issue with your gift card? Read about common issues or contact us. Conditions of Use i rlv y Notice ©i996-2021, Amazon.com, Inc. or its affiliates hllps:llsmiie.amazon.comlgplcsslsummarylprint.htmVrel=ppxyou dt_b_Invoice_o0D?ie=UTF8&order]D=111-9901131-8053830 i11 Lone Star Block Supply BILL TO Dellrif Ice, LLC John Purser 1301 Highwater Dr Georgetown, Texas 78628 United States 512-318-0785 dellriflce@gmail.com Lone Star Block Grade B Tx12"-18"xT Freight Notes / Terms INVOICE Lone Star Block Supply PO Box 638 Hutto, TX 78634 United States 737-216-4018 lonestarblocksu pply.com Invoice Number: Invoice Date: Payment Due: Amount Due (USD)- 8 $70.00 1 $350.00 Subtotal: Sales Tax 8.25%: Total: Payment on August 2, 2021 using a credit card: Amount Due (USD): 900 August 2, 2021 September 1, 2021 $0.00 $560.00 $350.00 $910.00 $46.20 $956.20 $956.20 $0.00 Lone Star Block Supply appreciates your business! For any comments, concerns, or issues please email fonestarblocksupply@gmall.com. If block is broken or does not meet the standard specified above, immediately take a picture of the item remaining In "Lone Star Block Supply" possession, leave item on truck, any Item taken off the truck will be considered in customer possession. Customer is liable for all cost associated with return shipping, By paying this invoice, all terms on this document are understood. All products are from mother nature and inherently lack uniformity and are subject to variation In color, shade, finish, etc. And because these products are natural and not manufactured. All sales will assume your acceptance for the same. There is no assumed or implied warranty from the seller In regards to color, size or variation. Although every effort is made to ensure the highest quality and continuity within the product. N317i21 i Grnaii Payment Receipt for Invoice #900 1 message Lone Star Block Supply <mailer@waveapps.com> Reply -To: lonestarblocksupply@gmail.com To: deliriflce@gmail.com Gmali - Payment Receipt for Involce #900 Ice House Twice the Ice <dellriflce@gmail.com> lkLone Star Block Supply Payment receipt Invoice #900 for Deltrif Ice, LLC Paid on Aug 2, 2021 Lone Star Block Supply PO Box 638 Hutto, Texas 76634 United States 737.216-4018 litkps: ill oii estari3locicsulpl.)ly, corn! Hi Dellrif Ice, LLC, Here's your payment receipt for Invoice #900, for $956.20 USD. You can always view your receipt online, at: https-.//Iinli wHveal.ps;.colrnl1159utu-scl3u9t 1f you have any questions, please let us know. Thanks, Lone Star Block Supply Mon, Aug 2, 2021 at 3:30 PM https:llmail.google.comlmaillul0?ik=dd2682eb88&v'ew-pt&search=all&permthld=thread-f°%3A1707014877482322334&simpl=msg-!%3A17070146774._. N2 8/3/2021 Gmad - Receipt from LONE STAR BLOCK SUPPLY +rnail Ice House TWIce the Ice <dellrlfice@gmall.com> Receipt from LONE STAR BLOCK SUPPLY 1 message LONE STAR BLOCK SUPPLY <noreply@gge4mailer.com> Mon, Aug 2, 2021 at 3:30 PM Reply -To: LONE STAR BLOCK SUPPLY <LONESTARBLOCKSUPPLY c@gmall.com} To: delirifiice@gmail.com Receipt follows: ========== TRANSACTION RECORD LONE STAR BLOCK SUPPLY 305 WIMBERLEY STREET HUTTO, TX 78634 United States HTTP:IILONESTARBI.00KSUPPLY.COM/ TYPE: Purchase ACCT: Visa $ 956.20 USD CARDHOLDER NAME. John W Purser CARD NUMBER : ###5981 DATEITIME : 02 Aug 21 15;30:05 REFERENCE # : 001 0249418 T AUTHOR. # : 00183C TRANS. REF. : Approved - Thank You 100 Please retain this copy for your records. Cardholder will pay above amount to card issuer pursuant to cardholder agreement. httpsllmail.google.com/malUu1071k=dd26B2ebB6&vlew=pl&search=ail&permthld=lhread-1%3Al 707014850946575053&simpl=msg4%3A1 7070148509. . . III JSC Asphalt Care, LLC 5091 FM 973 Taylor, Tx 76574 7/18/21 Email: info@ Jsqasjphaltcare.corn www.iscasphaltcare.com John W Purser delirifice@gmail.com Detlrif Ice, LLC 512-318-0785 2400 E Rancier, Asphalt AsphaltRepair....................................................................., ...........$3 230.00 Area will be tacked and prep • D mix asphalt will be added to area, graded, compacted Payments to be made as follows: Total: $ 3,230.00 Balance to be received upon completion of work existing Acceptance of proposal The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature Date Form ROW-R-CE (Rev. 03116) Page 1 of i CERTIFICATION OF ELIGIBILITY ROW CS1: Parcel: o2 Lk Displacee: MLI-RIP ICe, , oLc Individuals, Families and Unincorporated Businesses or Farming Operations 1 certify that myself and any other party(ies) with a financial interest in this relocation assistance claim are either: ,"Citizens or Nationals of the United States or Aliens lawfully present in the United States a [fan Alien lawfully present in the United States, supporting documentation will be required. Date: Claimant Claimant Incorporated Business, Farm or Nonprofit Organizations I certify that 1 have signature authority for this entity and such entity is lawfully incorporated under the applicable state's laws and authorized to conduct business within the United States ��4 /y/. Date: 11//611 Claimant MEMORANDUM TO: City of Round Rock DATE: November 18, 2021 Lisa Dworaczyk FROM: Laurie Miller Originating Office SUBJECT: Parcel 26 Laurie Miller Gattis School Road Project Request Payment for Re-establishment & Moving Cost — John Purser / DELLRICE It is requested that the attached submission be handled on a normal basis. In support of this request, please find the following: ( R-99 - Actual Claim for Moving Expenses ($21,394.35) (} Tabulation of Expenses (-V Vendor Invoices with Cancelled Checks (�)J Replacement Site Photos and construction Photos { Vendor W-9 Form { Certification of Eligibility EXPENSE VERIFICATIONS (4) Comments: This packet is a request for payment for a Re-establishment and moving expenses for John Purser of DELLRICE. Invoices and cancelled checks are included for supporting documentation for this claim. Mr. Purser has relocated his Icehouse to Killeen, Texas after months of searching for a replacement site. I have been asked by the displacee to request an exception to policy to approve an additional $4,689.72. Mr. Purser incurred all the expenses listed in the attached spreadsheet to move his icehouse to a new location. If this is to be considered the total for this claim would be $23,189.72. Breakdown: $25,000.00 -$6,500.00 Grant Murry -Reestablishment Claim (Submitted) -18,500.00 Remaining Allowed Funds - Mr. Purser (this Claim) 0 Invoices that would not been reimbursed without the exception to policy: $4,689.72 For a total of $23,189.72 + $2,894.35 Moving Cost =$ 26,084.07 We approve and recommend that the attached submission be processed at your earliest convenience. If additional information is needed, please contact Laurie Miller of this office at (512) 413-4012. Laurie Miller, R/W-RAC, R/W-URAC Attachments City of Round Rock ROUND ROCK TEXAS Agenda Item Summary Agenda Number: Title: Consider approving a $26,084.07 claim for re-establishment and moving costs associated with the relocation of an ICE vending machine located in the right of way acquired for the Gattis School Rd, Phase 6 project. Type: City Manager item Governing Body: City Manager Approval Agenda Date: 12/17/2021 Dept Director: Gary Hudder, Transportation Director Cost: $26,084.07 Indexes: RR Transportation and Economic Development Corporation (Type B) Attachments: LAF- City Manager approval for Relocation Claim on GSR6- Parcel 26, DELLRICE(26) --Relocation claim for Re -Establishment and Moving Expenses Department: Transportation Text of Legislative File CM-2021-350 The City purchased the right of way on Parcel 26 where the ICE vending machine was located. The Uniform Relocation act allows for re-establishment and actual moving expenses to be recovered as a result of this displacement. The total allowed by the Uniform Act for re-establishment is $25,000. A claim for $6500 was previously approved by the City leaving an available balance of $18,500. This claim includes a request for an exception to policy for an additional $4,689.72 for costs incurred by the claimant and supported by the rules and recommended by the relocation consultant for payment. Additionally the claim includes a cost of $2,894.35 for moving expenses which is supported by the rules and recommended by the relocation consultant for payment. Cost: $26,084.07 Source of Funds: RR Transportation and Economic Development Corporation (Type B) City of Round Rock Page 1 of 1