CM-06-05-109A. •
Cross _°
ACQUISITION, INC.
PAYMENT REQUEST
DATE: April 4, 2006
RE: County: Williamson
Highway U.S. 79
Parcel No. 10
A. T. Masonry Supply, Inc.
Mr. Don Childs
Attorney at Law
Sheets & Crossfield, P.C.
309 East Main Street
Round Rock, Texas 78664-5246
Dear Mr. Childs:
12325 Hymeadow Drive, Suite 2-200
Austin, Texas 78750
Tel 512.401.8868
Fax 512.401.6814
Toll 877.290.0390
www.crosslandacquisition.com
A.T. Masonry Supply, Inc. has completed their move from the business on Parcel 10.
Enclosed please find the final relocation claim as provided for in the Uniform Act totaling
$17,903.67. Of that amount, $10,000 is for reestablishment expense and $7,903.67 is for moving
expense. I have enclosed a chart breaking down the eligible expenses. A check in that amount
payable to A. T. Masonry Supply, Inc. should be sent to us and we will get it to them. For pay
purposes, the Federal Tax ID Number is 74-2949987-8.
Should you have any questions, please give me a call.
Si rely,
Enclosures
Jim Henry
Crossland Acquisition, Inc.
of lapin..
Form ROW -R-99
Rev. 5/2003
Replaces Form D-15-99
GSD -EPC
Page 1of1
CLAIM FOR ACTUAL MOVING EXPENSES
tator#' pe.A11.:4nformation
1. Name ofClaimant(s)
A. T. Masonry Supply. Inc.
Parcel No: 10
County: Williamson
ROW CSJ No.:
Project No.:
■ Residence ® Business • Farm • Nonprofit
• Sign
• Other
2. Address of Property Acquired by State:
2890 Palm Valley Blvd.. Round Rock. TX
Claimant's Telephone No.: (512) 255-1540
3. Address Moved To:
3766 C. R. 123, Round Rock, TX 78664
4. Occupancy of Property Acquired
by State:
5. Distance Moved: 2 Miles
From (Date):
1994
To (Date of Move):
7. Mover's Name and Address:
A. T. Masonry Supply, Inc.
• Owner/Occupant ►i1 Tenant
3766 C. R. 123
6_ Controlling Datcs
Mo.
Day
Yr.
Round Rock, TX 78664
a. First Offer in Negotiation
10
22
03
9. Amount of Claim:
b. Date Property Acquired
a. Moving Expenses
$ 7,903.67
c. Date Required to Move
b. Reestablishment Expenses
$10,000.00
8. Property Storage (attach explanation)
From (Date): To (Date of Move):
c_ Searching Expenses
5
Place Stored (Name and Address):
d. Tangible Property Loss
e. Storage
$
$
10. Temporary Lodging (attach explanation)
f Temporary Lodging
$
From (Date): To (Date of Move):
g. Total Amount
$17,903.67
I I. All amounts shown in Block 9 were necessary and reasonable and are supported by attached receipts. Pay of this claim is requested. I certify that I have
not submitted any other claim for, or received reimbursement for. an item of expense in this claim. and that I will not accept reimbursement or
compensation from any other source for any item of expense paid pursuant to this claim. 1 further certify that all property was moved and installed at the
address shown in Block 3, above, in accordance with the invoices submitted and agreed terms of the move and that all information submitted herewith or
included herein is true and correct.
Claimant/ �J
Date of Claim: ,Z).7 0..)-Lcs, c)
Claimant
.Spices Below to beCompleted by State .'+:
I certify 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 State law. All items are considered to be necessary reasonable expenses and this claim is recommended for payment as follows:
Amount of $ 17,903.67
Date District Engineer
Texas Department of Transportation
Addendum to Relocation Assistance
Payment Claim
R.O.W. Account #: 2890 Highway 79
C.S.J.
Parcel # and Displacee: A.T. Masonry Supplies
•
CERTIFICATION OF ELIGIBILITY
I certify that myself and any other party/s 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, supporting documentation will be
required.
If an incorporated business, farm or non-profit organization, I certify that I have
authority for this entity and such entity is lawfully present in the United States.
BY,
/6. -01--
Date
ar
Date
14- 4a949q*7-4?
SSN or Federal ID Number
03/30/2006 10:52 5124809100
IA EXEC SUITES
RELE A.SE OF PIt'OPER --
PAGE 01
TO NOTIFY THE CENTRAL TEXAS REGIONAL MOBILITY
THIS IS dba Aaron
AUTHORITY THAT X (WE),
Aaron . ison
'Thornisory HAVE VACATED THAT PORTION OF THE
PROPERTY ACQUIRED FOR RIGHT OF WAY LOCATED AT 2E2
Pa LT Valley Blvd. Round . ock, ON
AND RELINQUISH ALL RIGHTS TO PERSONAL
PROPERTY LEFT AT THAT ADDRESS.
Carole Tower, Agent
Aaron Thomison
36 10
Date
At 02/15/2006 17:04 5124809100
111-
01/15/2005 15:03 15122409900
■
IA EXEC SUITES
ADAMS TRK & BACKHOE
PAGE 03
YNUG V1
ADAMS TRUCK AND BACKHOE SERVICE
#20 Lake Dr. Fax 512-248-8908
Round Rock,Texas 78664 Phone 512-217-2638
Date: ore r• - a°o' 1
Job Site: 3Z 0-1 Cory R'D { 23
Clint: ,q 04 ifp p' rt [}DVA t - a N
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02/15/2006 17:04 5124809100 IA EXEC SUITES
INVOICE
6-28-04
PLEASE MAIL PAYMENT TO:
FROM: JASON CLARK, R.S.
P.O. BOX 32
THRALL, TX 76578
512-856-2933
AARON THOMISON
2890 PALM VALLEY BLVD.
ROUND ROCK, TX 78664
FOR: SLTE EVALUATION AND OSSF DESIGN FOR 3766 &
3754 CR 123, ROUND ROCK, TX (#04.-3466 ! #04-3467)
PAGE 04
NOTE THE DESIGNS WILL NOW BE FOWARDED TO '3(1 (61 -
GEORGE ADAMS, OS II
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IA EXEC SUITES
IG,
LOTT FENCE
P,O.Sox 1597
Round Rock, Taxan 78580
(512) 2444681 Fax 244-2422
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Paymonl Of Tat.l natant, 11 Duo Inun,4J*teJy Upon COmpaHon Of Job
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IA EXEC SUITES PAGE 04
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P.O. Box 1597
Round Rock, Texas 79000
(512) 244.6081 Fax 244-2422
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02/15/2006 17:04 5124809100
IA EXEC SUITES
Tom Witless
704 Andover Dr.
Round Rock, 7X 78664
592-796-0730 fax 512.388-3499
Name Aaron Tomison
New AT Masonry &
Project Corp. Offlaes
PAGE 08
Da�crIptlon
WE PROPOSE TO FURNISH THE NECESSARY LABOR & MATERIALS
TO ACCOMPLISH THE FOLLOWING:
BUILD. & INSTALL NEW CABINETS Q NEW OFFICES
BOXES TO BE 3/4 MAPLE PLYWOOD OR EQUAL BACKS TO BE 1/4".
EXPOSED SIDES TO BE RED OAK PLYWOOD.
FACE FRAMES TO BE 3M" RED OAK WITH RASED PANEL RED
OAK DOORS
SASE CABINETS TO 38" HIGH WITH TOP READY FOR PLASTIC
LAMINATE.
UPPER CABINETS TO BE 48" TALL
CABINETS & LAYOUT TO SE SIMILAR TO RENDERING.
NEW OFFICE CABINETS
NEW MASONRY OFFICE CABINETS
<MATERIAL DRAW
Afro 2f ?-o7fv
A
Tax Rate(s)
> r
Data 5/2312005
Unit Prion
$4,225.00
$1,7'75.00
$2,000.00
TOTAL
win
$ 4,225.00
$ 1,775.00
Subtotal $ 4,000.00
SPPing
TOTAL
$ 4,1100.00
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02/15/2006 17:04 5124609100
IA EXEC SUITES
RICKY COX
16 BRENDA LN.
ROUND ROCK, TEXAS 78664
(5412) 255-6567
DATE: 10101/04 INVOICE #: 04.03
BILL TO: Aaron Thomison ATTN: Aaron
ADDRESS: Round Rock, Texas P.O. #: NIA
JOB: Lot 3 & Lot 4
County Rd. 123
Original Contract Amount 5,400.00
Approved Changeorders: 0.00
Contract Amount 5,400.00
Amount Requested: 100.00% 5,400.00
(Matodal: $4000.00 Labor $1400.00)
Less Previous Payments: 0.00
TOTAL DUE: 5,400.00
/3°41
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PAGE 05
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02/15/2006 17:04 5124809100
IA EXEC SUITES
Southwest Communication Tech
P.O. Bobs 3197
' lin, TX 18764
sold To:
STATEMENT
Customer No.: 107360
PBge: 1
Date: 7/5/2005
444/25
AT MASONRY SUPPLY
2890 PALM VALLEY BLVD
ROUND ROCK. TX 78664
USA
Attn: Mica
.5164
Document No.
Doc.
Date
Ty.
IN
Reference/
Applied No.
.
00
fga--7 -718/03---
Due
pate
7/28/2006
Amount
2.503.87
21568
628/2006
WE APPRECIATE YOUR BUSINESS Credit Limit: 5,000.00
Credit Available: 2.498.33
- Invoice 17 - Iraereat Payable AD - Adjustment Total 4 2,503.67
-on - Debit Nolo PY - Applied Receipt P1 - Prepayment
CR - Credit Neo ED. Earned Discount Ue - Unapplieo cast,
1 - 30 DAYS O/DUE
0.00
31 - 60 DAYS O/DUE
0.00 Ji.
61 - 90 DAYS O/DUE
0.00
OVER 90 DAYS 0/DUE
0.00 '
PAGE 06
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CITY MANAGER BLUE SHEET FORMAT
DATE: May 8, 2006
SUBJECT: May 12, 2006
ITEM: Authorization for City Manager to approve payment for final
reestablishment fees and utility reconnection fees for Parcel 10
(Thomison) of the Hwy. 79 improvement project.
Department: Legal
Staff Person: Don Childs/Steve Sheets
Justification:
Funding:
Cost: $17,903.67
Source of funds: 4B Transportation Corporation Funds
Background Information: This is the FINAL relocation claim for Parcel 10.
Dislocated businesses are able to claim
reestablishment expenses capped at $10,000.
The additional $7,903.67 are for the
reconnection of utilities and are considered
moving expenses as opposed to
reestablishment expenses.
Updated 3-10-05