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CM-2024-179 - 6/28/2024DocuSign Envelope ID 02676472-EE84-4C53.8E5C-397513A3594F Page 1 of 1 CLAIM FOR ACTUAL MOVING EXPENSES PriatorTnwAllInformadon I. Name of Claimants) Parcel No: Burge Parcel County: Williamson Landon Burge Project: Old Settlers Blvd Residence El Business Farm El Nonprofit D Sin Other 2. Address of Property Acquired by City of Round Rock: 3. Address Moved'] o: 1001 N. Redbud Lane Remainder Round Rack. 'texas 79664 Claimant's Telephone No.: 4. Occupancy of Property Acquired by City of Round Rock: 5. Distance Moved- Remainder 7. Mover's Name and Address: From (Date): 1'o (Date of Mo%c): 1982 6-8-2024 A -Line Relocations 429 Doe Run Georgetown, Texas 78628 Owntr/Occu aru Tenant 6. Controlling Dates Mo. Day Yr 312-968-9983 a. First Offer in Negotiation 02 08 2023 9. Amount of Claim: Mining Expenses $28,514.00 b. Date Property Acquircd 2024 c. Date Required to Move 04 14 2024 8. Property Storage (attach explanation) From (Date): NIA To (Date of Move): N/A Total Amount S28614.00 Place Stored (Name and Address): N/A 10. Temporary Lodging (attach explanation) From Date): NIA To(Date ofMove • N-A 11 All amounts shown in Block 9 were necessary and reasonable and are supported b) attached receipts Payment of this claim is requested I certify that 1 have not submitted any other claim for, or recetvcd rcirnburscmcnt for. an item of expense in this claim, and that I me.- not accept reimbursement or compensation from any other source for any item of expense paid pursuant to this claim I further certify that all property was moved aid -nstal led at the address shown in !Block 3, abov gAWWvtth the invoices submitted and agreed terns ofthe move and that all information submitted herewith or included herein is true and eor ell 1A. Jae. C amani IhteofClaim 6/19/2024 Claimant $ aca Below to be Cem leted by CitrofRound Reek I cent fy that I have examined this claim and substantiating documentation attached herewith and have found it to be true and correct and to conform with the applicable provisions of Slatc law All items are considered to be necessary rcasortabl s and this etas recommended for payment as follows Amount of $29,514 00 I Date Rel I Date City of Round Rock cscntaGvc 0#7 - �?e aV- 17tl A -Line PAlec adw 429 Doe Run Georgetown, TX 78628 +15129688883 TravisCiDALineRelocation.com www.ALin@Relocation.com INVOICE BILL TO Landon Burge 1001 N Red Bud Ln Round Rock, TX 78665 SW TO Landon Burge 1001 N Red Bud Ln Round Rock, TX 78665 A -Line RELOCATION INVOICE # SM1073 DATE 06/10/2024 TERMS Net 30 ACTIVITY DESCRIPTION OTY RATE AMOUNT Packing Pack Main House 8 Packers 5/13 14 800.00 11,200.00 Paddng Mate6ais 1 3,964.00 3,964.00 Meng Move Main House to Guest HouseiGarage 9 700.00 6,300.00 5/14 Moog Move Storage Units to Shipping Containers 6 700.00 4,200.00 5/14 TMIll Fee 3 150.00 450.00 Meft Packing and Moving remaining items 6/6 6 400.00 2,400.00 BALANCE DUE $284514M [P -/u-cX'l n u o -P 9 j j C �r, V U �I.i b;� a Q.,J arm r.0 Danny Jackson From: travis@alinerelocat�on,com Sent: Thursday, June 20, 2024 9:48 AM To'. Danny Jackson Subject Re: Old Settlers Bird Burge Parcel Good morning Danny. The change in the "rate" that you see on the invoice is due to me sending more people on the Burge move. For moving and packing I charged $100 per hour per crew member. The reason I sent additional crew was due to the family members being there and separating and going through items as we packed. This added a substantial amount of time to our day since we weren't able to just go in and quickly pack everything up. The increase in packing materials was strictly due to use using more packing materials than I anticipated. We also had to go back an additional day on the 6th to pack and move any remaining items that they had decided they wanted after we initially completed the pack and move. Sincerely Travis Kieke A -Line Relocation 512-968-8883 A-Une Relocation 429 Doe Run Georgetown, TX 78628 (512) 968-8883 Travis@ALineRetocation.com www.ALineRelocafon.com Estimate A -Line RELOCATION ADDRESS SHIP TO ESTIMATE a 1857 Landon Burge Landon Burge DATE 04101/2024 1001 N Red Bud Ln 1001 N Red Bud Ln Round Rods, TX 78665 Round Rods, TX 78665 TXDMV 00664581 C US DOT 22846W ACTIVITY DESCRIPTION OTY RATE AMOUNT Paddng Pack Main House 6 Packers a 600.00 4,800.00 Paddng Materials 1 2,456.00 2,456.0D Moving Move Main House to Guest House/Garage 9 500.00 4,500.00 Moving Move Storage Units to Shipping Conta'ners 6 500.00 3,000.00 Travel Fee 3 150.00 450.00 VETERAN OWNED AND OPERATED TOTAL $15,206.00 Accepted By Accepted Date 54" M o vy U " 9' .,5 B +o r sek w ' il'- $Zgi.a �oS�ltoL DOCUSlgn Envelope ID 02676472-EEB4-4C53-8E5C-397513A3584F Poe 1 of 1 CERTIFICATION OF ELIGIBILITY Project: Old Settlers Blvd Parcel: Burge Displacee: Landon Burge 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 If an Alien lawfully present in the United States, supporting documentation will be required. ppc tigwd by. w �ft D6/19/2024 ate: a„ .,... 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