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Young, Richard
I RECEIVE!� NOTICE OF CLAIM FORM to the City of Saint Paul, Minnes��5 2014 Mennesota State Statute 466.05 states that"...every person...who claims damages from any municipality...shaU cause to�r�sekte&�b�k-�K governing body of the municipaliry within 180 days after the alleged loss or injury is discovered a notice stating the time,place,and circumstances thereof,and the amount of compensation or other relief demanded." Please complete this form in its entirety by cleariy typing or printing your answer to each question. ff more space is needed,attach additional sheets. Please note that you w71 not be contacted by telephone to clarify answers,so pmvide as much information as necessary to explain your claim,and the amount of compensation being requested. You will receive a written acl�owledgement once your form is received. The process can take up to ten weeks or longer depending on the nature of your claim. This form must be signed,and both pages completed. If something does not apply,write`N/A'. SEND COMPLETED FORM AND OTHER DOCUMENTS TO: CITY CLERK, 15 WEST KELLOGG BLVD, 310 CITY HALL, SAINT PAUL, MN 55102 First Name �1�a-a'� Middle Initial�Last Name 7 D�N�sl Company or Business N�►ne Cre���ie��' Are You an Insurance Company? Yes/�If Yes,Claim Number? Street Address �5'� � � �'P�f bt.�'�C St . City W ► �'�, Cr'��� State �'�, N Zip Code � < < g Z, Mrs. , Daytime Phone�)�-�Cell Phone(�� !�-��6 Evening Telephone(���- � 7 �G` a� S ��,� �� ce�I�Iwu�e� Date of Accident/Injury or Date Discovered ���,�� �__?b I� Time am/� Please state,in detail,what occurred(happened),and why you are submitting a claim.Please indicate why or how you feel the City of Saint Paul or its employees are involved and/or responsi le for your dama es. i e i z�f' o ��s �' c..c� � -�P� ' �i i a1n o-f S�D! ct . ' a��r V af' '� e w � � - `�se c.c.s _.�"� a� c��p�I s e� -Fbr d��c�- s Please check the box(es)that most closely represent the reason for completing this form: 0 My vehicle was damaged in an accident ❑My vehicle was damaged during a tow � My vehicle was damaged by a pothole or condition of the street ❑My vehicle was damaged by a plow ❑ My vet�icle was wrongfully towed and/or ticketed ❑ I was injured on City property �ther type of property damage—please specify �e� o�-� �r�Q 5�-� "1�• ❑ Other type of injury—please specify In order to process your claim vou need to include couies of all aunlicable documenfs. For the claims types listed below,please be sure to include the documents indicated or it will delay the handling of your claim. Documents WII.L NOT be returned and become the property of the City. You are encouraged to keep a copy for yourself before submitting your claim form. O Property damage claims to a vehicle: two estimates for the repairs to your vehicle if the damage exceeds $500.00;or the actual bills and/or receipts for the repairs O Towing claims: legible copies of any ticket issued and a copy of the impound lot receipt � Other property damage claims:two repair estimates if the damage exceeds$500.00;or the actual bills andJor receipts for the repairs;detailed list of damaged items O Injury claims:medical bills,receipts .Photographs aze always welcome to docurnent and support your claim but will not be returned. Page 1 of 2—Please complete and return both pages of Claim Form Failure to complete and return both pages will result in delay in the handling af your claim. All Claims—nlease comulete this section Were there wimesses to the incident? Yes No Unknown (circle) Provide their names,addresses and telephone numbers: Were the police or law enforcement called? Yes No Unknown (circle) If yes,what department or agency? Case#or report# Where did the accident or injury take place? Provide street address,cross street,intersection,name of pazk or facility, closest landmark,etc. Please be as detailed as possible. ff necessary,attach a diagram. i`l o ������� n r i c . Please indicate the amount you are seeking in compensation or what you would like the City to do to resolve this claim to your satisfaction. Vehicle Claims nlease comnlete this section [g°check box if this section dces not avnlv Your Vehicle: Year Make Model License Plate Number State Color Registered Owner Driver of Vehicle Area Damaged City Vehicle: Yeaz Make Model License Plate Number State Color Driver of Vehicle(City Employee's Name) Area Damaged Iniurv Cisims olease comnlete this section �heck box if this section does not avvlv How were you injured? What part(s)of your body were injured? Have you sought medical tceatment? Yes No Planning to Seek Treatment(circle) When did you receive treatment? (provide date(s)} Name of Medical Provider(s): Address Telephone Did you miss work as a result of your injury? Yes No When did you miss work? (provide date(s)) Name of your Employer: Address Telephone ffr'l�Check here if you are attaching more pages bo this claur►form. Number of additional pages.�. By signing this form,you are stating that all information you have provided is true and correct to the best of your knowledge. Unsigned forms will not be processed. Submitting a false claim can resull in prosecution. Date form was completed �oc-c-�� i 2 U��" � Print the Name of the Person who Completed this For�: ' � � Signature of Person Making the Claim Revised Febroary 2011 DETAILS OF CLAIM BEING FILED ON BEHALF OF 155 E. BERNARD ST.,WEST ST. PAUL On February 4, 2014,the fire hydrant, located in front of our property, burst. Three houses were flooded, including the house behind us. Our house suffered the worst damage,with the hydrant being located directly in front of our house. Water rushed in;the basement was filled with 3 feet of water. We had just completed painting, within the previous few weeks, the basement floor and walls when the hydrant burst and the basement was flooded. We had new carpeting set to the side, waiting to be installed on the basement steps.This carpeting was ruined. The furnace,water heater, washer and dryer were flooded with the 3 feet of water and full of mud, so of course they needed to be replaced. The basement had to be drained, and a thick covering of mud had to be shoveled from the floor;the drains, also filled with mud, had to be unclogged. The side entryway to the house,the front sidewalks, driveway and detached garage also had thick mud that had to first be shoveled,then cleaned, and in the case of the side entry, had to be repainted, as well as the basement floor and walls had to be repainted. The yard had the grass and topsoil ripped out, leaving the yard with only mud and some rocks. The entire yard was a sheet of ice for the remainder of the winter. Richard Rowland was the water department claims agent who took pictures on site and can verify the damage. I am enclosing photos. Receipts and documents on the following pages. Contact information: Richard Young (847)800-6246-cell Richardyoun�50@yahoo.com Kim Young (847)708-2277—cell Kikilee528 vahoo.com 272 S. Old Creek Rd. Vernon Hills, IL 60061 SUMMARY OF RECEIPTS AND DOCUMENTS FOR CLAIM FILED FOR 155 E. BERNARD ST.,WEST ST. PAUL Chore Giri Services-basement clean up (Proposal only; not used) $667.50 Hinding Company Heating&Air(Proposal only-Furnace only) 2850.00 Armstrong Plumbing(Proposal and Actual): City of West St. Paul permit: �80> Water Heater 775. PY►ce-S �'^��`'tOCe �„�,ts Furnace 2749• Snake out floor drains and clean 650. TOTAL: $4173 IOWE'S Washer/Dryer $1222.36 Handyman Labor& Painting: Scrubbed mud off walls/floors Shoveled mud out of driveway,sidewalk,side entryway,garage (Re-)painted basement floor&walls;side porch. 40 hours @$20/hour $800 Chores Outdoors, lnc. landscapers Grade yard,mud away from house; install top soil Install sod. $1436.55 Menard's Paint&supplies to paint basement Floor&walls(which had just been painted Prior to fire hydrant burst!) 58.68 TOTAL being submitted: $7690.59 Which does not include all expenses Because we can't locate all receipts Ex: new basement steps carpet that had to be replaced ��.��� - - - - - - — �!'COPO�!'1� �P�e# -m paQet ' . � c� �rt s�,�c�s � � 363J Queen Ave N �� , ` � �., �1 55412 ' . 5f2-�81-6149 � : ,� , �f . ,:.�__ :�..�_._�______.� _ �e_.—_ � _._.. _ , - . �-�- �.�� T - _ . �� ... � � . .. �. . .... t .. ��� �,4� . .. Y �. , ' - ... _----:.,,,r...,.a___e._ �• • . ._..-.�_.�._..-�... ._ ���� .� ..�___.x..__�.. ' ",` _. J ... . .. . . : �.. i}r.-n�. c;.✓ . . . � - � . _._..._.�.._�, �. �-" � .. . ... . ... _.. .,n --- ..._..�-_-__T.._..�._..._..--�--- Y?-�r'Y`:..�.r � �.�,.:_,_____ s t � '" f � � � _..` �_�— .,, ; {� j� ,. �( ��'__.�...�_._ __._',_,�..�_.. ' _. J ���.�-d�.___. ._. ��.�� ��� O�•� t V: . . . .�__ .�.�.�. ' � � . . . __T.. � T.�__. _ � _. ....�...�--�.�.r .. . : � '� r-� � ;F�1.f � ' ' . - ��^.sr�cu:;-pecificazions and estimates for_�_�����Cn'�����Q d�O� � '� ��,�-[,�r��� �„y�� �� ��J�a-� ~ - ,,`' t,,.,p �'Jf�nc..vr•�..:�-- Lv,,, hJtl,d..c� — ' � - - - A,, _ . � __ ___ _,,:. _ _ __ _.. .__ __.�__.. . ___....____.r_ _`_ _ ` : � _ _ _ � . y � ,. �f !. 4 � . k. �� ..._... 1�.`._.rC,:-rh./�V f� �f,,,*;��'Cr.Y F . `l�:� ;.n.tF' l,a,:;.�.J�.,�."', �. r .��rr`a�°.., .¢".�"'��,r' . '{�. . 3 . .... ._, _ . _ __� _ __" ,...� , .. .. -- • _ __" " " � if ' ,^-., 'r .. . i . � ' � _ „��.�:L 3°�.� ,�'"L. �' /'[.,Y' ��� �L.� '�._. ` : *.F i�_ ; �.r.� _. 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'� i .��. . . � . . . � .. . . - .. . ... . . : : ,, . ..._ .. . . . . . ... . _ ._. ... ...._ __.__' ._..__... .. .. _ .... t � �.; . .. . . . . . ; .. -* Y _ � _.. -.., .__ _. . — _�_' ._ -... ..._v�,,..._.._.,.....-._...o-, ..-....'.�_ -.,._�- .__..�. �. .��.._...�_s...__.-. � �"`ss.,�. .-_.a_. . _.:�._ _ _ .. . . . _. . . _� __� �. _ _ ... _. .,. . ...,,., ..,.,,.«.� .....,... _..�........a._. �..�.,-:r:._,..,. _.�... , . - ._ _' _ ' _ -'_ � ,,._, . . . __�__ � :_ ...,. „_._. ... ._ .��_ _ ..._�. ._.. �_° . ___...�.__ _, ' _.._' .'__—_.'. ____� __._�_,-. . �..._- _._._. ,.....� ......._.:-�. -.,__.. ,..,....u...._.V t '�f . . . —._.-�_' � We proposc�:Yr;:*��a to furnish material and labor—complete in accordance�vith the above specefications for the sum oE �? , � (_ � ��� ; : S� ,_ �--�..,�s��-��� .�.=v�..��. r�, �.i.t'i��.C�-•_s-----_._..��`��'� .. ,-_ — - • � � t►ith pa.mentt to be made as fotio• �..� t�c�� u#__`r---' �_-._.'�' 4�,� R,t�•:;'•�--' s _. _.__�.� i , : s � � AAs�a:t�rauon cr 3z•iaunn frosn�bo��c specificatirnzs inevCrina estra co;c.;�eil! '.��s� .-, L.ly�t=... i�.:::; � 1rlurute,i oalr upon�vritten order,end+vill bernme an extra charge over�rnl � j' , r , �eR thc�r.�aze.All aereements contingent upon stn'kes,accidents,or detags __(,t;��-�' �``'"- �y"�'�'�_ _ ° .� -�-=-�F' � ----�-�- _ ; -���e+ooi'o�flooxot. � Vot4--t}tiS(J70�U�.1I ild�}'C.�'t{r�di:14�![f b}'WS lF 7]O[1CL'epted zcidii3, � �s� :; .._... __� ..�r�.,_� „ _. , _w.,. . �._,. _. __... . _�__ _.._ .�.<�.. ----_ w=- �_..� - -- --r..=_ _ � �~ �"` ," �--. __.. -ACCEPTANCE UF PROPOSA3_ ,� t `� iSe �bo�r�ers.�e.iararions and conditions are satis€actory and a� i� � ieei�acceptec. You aze autdorized io do che svori:as specified.Paymenu Ji=rt�uurr � '4� �x..3aL�t 25 dII�IDtd Sb0\'2. - � � . . . � � . � � � � � y . , . ..- .. . ., _._. ..� . . �.� �__ . . .. . � � {, ��'�.;....a;.-`.,�':.,.�.%—..,.....:.. .'.'.__.____��a:...,d,-. � '.__.... . . '..�... . '.__ . ��G��-� yo � � 5 5 g�� s-r, ws � {�t��.::;�:�r PRt1AOSAL HINDING C���iPANY �� HEATLNG �. AIR ��L4�i . Page No�. __..__ui Pages 415 W.7th St.,Saint Paul,MN 55102 DESCRIPTION OF JOS Phone:651-228-1303 Fax:657-228-9932 �rF,t<.,<}a - �z���F c�;,��s �� ! � �� .� -' wwwhindingheating.com � , i,,i� - - , emait:info@hindingheating.com ���`j � i PROPOSAL SUB,��ITTED TO: r�����'� ; ��� � � �i� �bu�.i � � �C:17Y � �i?�lE � 'Iii` i I � f AT�9tes USt� �T_ . � � � 'I�� � �in�� ( ��-�� �PNG-:E j�iSAfE � � . � ( �Sf-735"_,����, ; j �' `� � S5"1 t $ t�v�c��, �.„�.�E �----i — - - r i Tw°in Cikies i 4VF HERfBY SU8M1T SPEClF1Gt710NS AND fSTiNATfS FOk� ���'�- , v�� c�w+ �l�=�"!'c.ff , c� � ,�.c��-��c� ���..,�, i,� ���'�- °- �--t �,�F?�-C�'� w o u � ��� �__,_� �`� �'E�.L� " ��c�w��^ tnn-�'�ny-.,.. C o� �-r 4�s�'70'� ��t����, - ft � Tt�,.� //..���� L�F �j,�. )��/)( �"�'" �)t ��1� 4�..d.l'1'"�,j„�,<<4. � / L���.._�-' �: f'"T� / �/ l�� .7�-- � /�+Ir L'��.1 ��j�{'l�i�-. ..�� tk,.� ktv�. [� � �-j r �"C.. �'°.� �Q 'S C' �o � C� � ��-�P�' �J t��'-C.�.,' �'-�4 t��;�'��' _. �� �� ��� � �'�kl( G/��`Y�`t�%-...-�y'" �s,�� � ,�"� /�'i (;"�f�.:w'�� �f'�.j„--C� ''" � �M.�� e..-�-�'`.''.G Lf� � � � �� v ''� _ 1 j %t"'� .'S El�'-�� �'1r►s"�'"r i'.�-"�. (,t,%�d' �''"l�C.--' - _��j [,�"�' �'�� � .�..�1t�� � t�� ,E�-'r� �.-'b�'-��d��--- �� � �`��`(,/ -- #y�,.� `�.? t �?�--�� 1.�, �,t-�:--�--���'�'--t�--- We hereby propose to furnish material and labor;complete in accordance with above specifications,for the sum of _ dollars($ �U �✓� �� i with payment to be made as follows: : �II matenal is giiaranteed to be asspecified.All�ti�ork i,to be campleteti in a�+•orkmaniik� ��.�_j___.: m���ner acc�rJir.g to standard�rartict;s.Any alteraticrn or de��iation t`rom speciiications Authorir�;l '�.� --�''` im�ol�ina c�xtr c�sts�vill b�executed upon�+•ritEen orders,and�viii become an extra Signature__ ^�l/ �_ charKe c�t r.r and above thcr estimate.All agrc�emenls�onlingent uann strikes,atcidenis Note:This ro osal may be withdrawn b us if not acce ted c�r delays be�•i�rtd our cnntrol. U�vner t�� carry fire, tomada anti otl�er neces,ary P p y P � insurante.�ur 4vorkets are iullv covered by tiV�rkers Com�ensatic�n Imurance. within days. Acceptance of Proposat - The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment wifl be made as outlined above. Signature .._ Date of Acceptance: ._ Signature � ������ Y o� � l5 5 �-3�-u��,� S�-, �! S P - CITY 4F WEST ST. PAUL 2616 NUMBOLDT AVENUE,WEST ST.PAUL,MN 55218-3972 Su�:�d.%nA Mechanical, P/um�inrLlr��G�ons#;51-551-42I6 Electricallnsu�ch'ans 61Z 866-1979 7 8 30am M�; Issue Date: Febn,ary�2,20�a Permit Number:PR2014000d115 AppticantAddress: ARMSTRONG PtUMBtNG * 42$375��2Qg1 * 132Z2N�AVE NEW PORT,MN 55055 Phone:(952)220-7868 : *PERMITS - APPLICATION* Description of Work: Replace Furnace Location 155 BERNARD S7 E,WEST ST PAUL,MN 55118 Parcel# 4283750Q2081 Property Owner:YOUNG RiCHARD A 155 Bemard St E West Saint Pau1,MN 55918` (G51)7g5.qqqp Contractor:ARMSTRONG PLUMBlNG 73272ND-AYE NEW PORT,IYfN 55055 (952)220-7868 Permit-Mechanicai: AU Permits on this Application: Mechanicai-ResidenUai : �� Occupancy Ciass: IRC-1 Zoning` R1-B�Singie Famiy Es6mated Value: 575.00 Residen6ai Construction Type: Type VB � Buiiding t1se: tRC-1 Woric item(Detail): State Contractor#: MB649204 City License#: Description of Work Units Quantity MER-Furnace EaCh 1 MER-Gas Piping Associated With Each 1 Mechanical tnstall Fees � ME-State Surcharge/Permit $5.00 Mechanical Fixture Fee: $5Q.00 Gas Piping Fee: $25.00 _ . - Total Fees: $80.00 Enforcement and adminisVafion of o�the P.�inesota State Buidvsg Code is a public service and is,of necessity,limited in na2ure. Consequently,this Pertnit an�the su�sequ+.r�t b�li�ciing insp�cticns are not to t�e construed ur retied upon as arry type af warcarty,� ��-;�- or representation on the part af the City pt tFV�t Saint Pa�thai ii�plans,enn5tructian,or t:nish�x{pro�tuct 8re rtecessarily in Co�f�r*�°f3ne� with the provisions of the Minesota State Hu�din�Code or�sher app6cabte consWction standsrds. Furihertnore,tha City of West Sain:aa�i assumes Ro responsiblity or li�bif'rty tat tlamages af arsy nature atl�gediy arisitig oui o�the'rssuence of this permit or subsequent inspe4:!t� The undersigned hereby agrees to do all work in accordance wiith the ordinances af the City of West Saint Raul,State Building Code and the requirements of the City Building Department. Final Inspection Required:- �r`.��-� '.;' ,��'< �f�.�u` Building Inspector Authorization- Building Department Authorization This work is nof complete until final inspecfion slgned by Wesi St Pau//nspector i �(G4ic�-v� o� � �.5 � �`�tf'�c�-t, �'r, wsP ���� . r`� ' . J���IJ�i � � n 11., � • � � � � � n Commadaf&tle�dentla�A�krscte �'� ` ^0� IHVOICE # L - � 9 .220.7868 ,' � ��.�� r i �. � s � � ,� ,� � � NAMf: "��' tZ � 'rl. .7�: ! .t ' . � �, : A�BRESS: ��' f�' �'1 di f'�_ PHONE � �R, � � :�I G�'`�� "�� !�7`C�� "� '' CtCY: Li.'�5�� �� i�,.,� 5TATE:�t"1% ZIPCQDE' ,5 ��t� � t�l� 4 � ':-f '` � �'� '-~s• #7j �a�,�,s�i� � �„ JOB LOCATIQN: ,- .-+� ' �� �_S • C t• � r � l` � � :-, C tk�. ./7:� fit� -l�t'd�c'[? ,� ' "G; �_ i � i �.� �` ,.-� i ..f+�:r. }- �:,�.i 'r. �` .�..r� C`��- c � f � ' i ; �f p , .�r"' � ��potc �I � Y- t�t'GI i � �« , , ' L:. . �'` ) a`Y^ � 'c�rZ` c' f.�', � �.c"L�'� C Kfl j 3 i� �. �}�i.; 6 4� �r .- c' �re� �S�:"� � f.': �G ;,c/ [=c /C` C: L ,��!_'. r ' � �� '.G �.l � ` `.cs "►y�-� �- �.'� v' �c-^t/�"�LLr`'Cr =�'2,i` �i� Ll.r'1� �` °� � 1� I� , .�� r�; <,rT i�lrt:.� �� �. � 7y _� �'���� �F} ' G��c�L t�,., r:�r a� ���°%��� �?G �' � 'c.� I{' �J�- �. `��; c -�, �' "�� �r�,_ �`1 t� v� .� � � / �� �'-`� -� " ``J �/)4 .,`�A . G�j- �/L`L!>� � C:��r �=t IT y '/ '�" ��l iX+� �� c. l� y L..�::;' .)�'1 fli% -� �( -��� '� ���l '�A c , ��� � ;��r1.C.-t' C�-T�. ��l+�t;'!/ J � �' ' r L. 1 c,! '�t` !,^ r1-� 1 f' '�/.� r1 ' �>�f(k yL-! � C.'�r� � � � �t � "? . ' 575.�minimum bid charge , - t,..�"i/°� �i f' '�..-:.� �.. / S 1 SO.OQ dra�in tleani�g ���-. �t;�►�-� !`)��r. , t, r-;/ �`�stf .�%� M�thwisatlon and wahrar t hereby authwae the work desvibed above and 5700.00 fwfirst half hour agree to the tertns and aonditlons as stated on this fortn.I reooghiae that aged 3gp.pp{er each additional t/4 hour �pR andciet�iorated equlprnenL P��9�rex P��9�aPP��Y^o lon9er be serviceabl�and I agree to hold Annmong Wumbing LLC biameless �A��RiAL Eor arry damage or desuuctton to these items as a resuh of these cornentional repair effores.l ag►ee to pay fior all work,goods,and services reoeived. p��� fiA15C 5ignature X SUPPltES , . - . . , � . nuNKYCwi PAYTHISAl1A0UNT � The above described work has been�ompleted ta my satisfaction. Signature x Date rnmpleted � � ► i # � r � � � . • � t � ' 1 ; ���t�Q.,,�d �� �°`-�-� l 5 5 �3�rv�a�r� s-F-, Ws � I . .. . _ _. .... . .. . .... ... .. .. - . . . ... ... .. .. .... . . ... ......... "_".. .. . . . . ... .. . .. . � . . .. ���� � � � • . . �������� ; �. � . ! i . , , � ,1.; �°'��''��_ 202 iNVOfcE # �5z.��a.7�ss . .. . .. . NAME } .:a' "`` , , . . , , , , �. , _ a��. � : AI7DRESS: _ `,.tl� .� ` _ �r 'e. � � ;:r���,� PHONE �� �, --s :--�. CtTY: -�. _ � ;,' 'i'STATE: ;,�. P COD� :r,. � r - � , , . 1C16 LOCATIOW: ' � °`� � r�. `' u.�` • . . e , ... . - : , ,s . _ , ;� , , .. ..,�i � .: � ,- ;. . - ��-- � _ :.��;:_., . �.P ..:�,: _rr >-�.n.,.i a�; �tt#a. . .:, �-... „ ��_ - ... .. .._ .- �_z. _ � � � � _ ... r'� . - s:..T. ,.w :, a� �� `, � �",' �4..�r. , � i ' - �, �_� �� r:i� � . . �`f�`�i' . . � r , � . 'y `� ` , ,�' :.�. � -' _ � �'•. ; �:,,t�. z 7,�=.,�r� .,�,.�� . �. .�; ..:...-�. , _ .. r.��-, , ._ ,1. ,r^ �Y'`,.s"�° '.r� �^ .,.. Z� '�„„�s�' �''+ t � �?�� ` � �. s • � ;- — , .. �,. . . _��:. .s' -- ,.� _ _ .,.-�. : r �.� p �;„�" ' ^ '� ;n -:. , .a:».,,` r,- . - �-e. F „-, . f,. � � ° J', ,, _ _ ' - £F.. .� «...,� o,. . . _ . ` : .:- .�: ., . , e-� : - %� 1. r ' ' ✓ .c -•�'.� A. ' .��,e"a 4 f—. . .p . - . � . y 4 '-.:�: n,. .:., <<..,_ .....:.w A-o' u"� � yt - i�`� �.-C , «. i � �� -�_ .. � � e �# x=, - ' i�J;A, t- �a � °7 � ° � :- � � - ,,�'� '.�:�: � �(� s i:s i►� � UY 1 �fi � � _ �'�� s=• 575.00 minimum bid cfiarge �,�� r1�7'''� i. N � •a ,t,� -- a,�•.«R 3' S��.�d1a1(1 C�E�3Ii�11tJ I ot���� {7i � <;�: �r.^'�f 0 c'F' � �` ..:, ��' i g :..,. �i.�! / �, � .,�_ , . t ,.y.r � -, 8r�eCsc3�T - !� � Authorizatfa�and vwaiver:i here6�y auth�ize d�e amrk`destrib�d�tmve aA�� ' ur r �+�t v a agr�e�o cfie tertns and conditions as stated on this fam.I recognQe that aged ' _~` 530.0p{or each additional t/4 haur �� �d deteriorated equipmenL P���+9�P�P�^9�aPP�^O��Yno tonqer be serviceable.and i agree to hoid Armstrong Plurt�ing LLt biameless MAT NAL for any damage or destnrction to these items as a rewft aF these comreMional i repair ef�orts.l aqree to pay fw�l work 9��arai servioes received. P�S "� NYSE Signature x �� ' � . . . • . . . ; , , . THANKYOU! PAYTHiSAMOUI� ", 4, � The above described work has been campleted to my satisfaction. "�����,�j��j t�v �,�- 'y ,/�"� � ���� Datecompleted ..., � � t � . ( t ei � r . ' tt • ' I : . : �lC�r�a-v`d �O� l 5 5 ��v�a-�-d 5-r , (�{ 5 � OMZR130A LOWE'S HOME CENTERS, LLC PAGE: 1 VHI 2751 PROJECT ESTIMATE ESTIMATE FOR FUTURE PURCHASE CONTACT: YOUNG, RICHARD SALESPERSON: GOLD, STE�IE CUST #: 126930908 SALES #: 852440 PROJECT NUMBER: 397962945 DATE ESTIMATED: 02/06/14 QTY ITEM # ITEM DESCRIPTION VEND PART # PRICE ----- --------- ------------------------------ -------------------- ---------- 1 502407 MT 3.6 TL WSI�R MVWC200BW (-684 MVWC200BW 549.00 1 502439 MT 7.0 CU FT ELEC DRYER MEDC30 MEDC300BW 549.00 1 433288 4-INX8-FT FOIL TRNS'PN DUCT (IM FXL0008 9.97 1 433284 SPRING CLAMP (CAM) 433284 1.97 1 148708 3 WIRE DRYER CORD 6-FT UTD100306 17.99 1 31781 DRP 6FT PVC WHM HS 2CT RD/BL 9 98532 14.46 TOTAL FOR ITEMS 1142.39 FREIGHT CHARGES 0.00 DELIVERY CHARGES 0.00 TAX AMOUNT 79.97 TOTAL ESTIMATE 1222.36 This Quote is valid until 03/08/14. MANAGER SIGNATURE DATE THIS ESTIMATE IS NOT VALID WITHOUT MANAGER'S SIGNATURE. THIS IS AN ESTIMATE ONLY. DELIVERY OF ALL MATERIALS CONTAINED IN THIS ESTIMATE ARE SUBJECT TO AVAILABILITY FROM THE MANUFACTURER OR SUPPLIER. QU_ANTITY, EXTENSION, OR ADD?'TION ERRORS SUBJE�T TO CO:2RECTION. CREDIT TERMS SUBJECT TO APPROVAL BY LOWES CREDIT DEPARTMENT. LOWES IS A SUPPLIER OF MATERIALS ONLY. LOWES DOES NOT ENGAGE IN THE PRACTICE OF ENGINEERING, ARCHITECTURE, OR GENERAL CONTRACTING. LOWES DOES NOT ASSIJME ANY RESPONSIBILITY FOR DESIGN, ENGINEERING, OR CONSTRUCTION; FOR THE SELECTION OR CFiOICE OF MATERIALS FOR A GENERAI� OR SPECIFIC USE; FOR QUANTITIES OR SIZING OF MATERIALS; FOR THE USE OR INSTALLATION OF MATERIALS; OR FOR COMPLIANCE WITH ANY BUILDING CODE OR STANDARD OF WORKMANSHIP. R���� ��� � 5� g �� S�� �sc Chores Outdoors, Inc. Chores Outdoors,Inc. I nvoice 108 Broadway St.W. Osseo,l�RV 55369 ��@ � + ��N� (612)392-1775 OS/19/2014 1651 info@choresoutdoors.com TBtmms ` `Du�-�1�te http://www.choresoutdoors.com � —`"� i Due on receipt __OS/19/2014 , ; Bi1F To i Richard Young � ' 155 E Bernard St i West Saint Paul,MN 55118 � � �Balar�ce Due , ` Endosed �; � $ns.00 I �, f'I ,e u::tach tot�7ortion and r��n�m��ith�o,��pa�meut- ( Date � Service Activity Qua�i,y Ra�te }�iour�t OS/19/2014'Sod Removal ;Remove any existing sod in the front yard,boulevard i 160 ! 2.SO j 400.00T � ;only- 'and both side yazds.Price does not include any work in ' i ' �Residential ;the back yard.Price aiso includes haut out of any � j � ' �e�sring sod. I i OS/19/2014 i Grading-Toro Grade yard in preparation of new sod. � 2 � 75.00 i50.00T I iDingo 420 � � ' � �OS/19/2014 iTop Soil �Install top soil to grade away from the house. � 4 � 75.00� 300.00T � !OS/19/2014;Sod Installarion �Sod installation only.This includes one box of sod 160 , 4.00� 640.00T ! ; �only !staples for washout azeas. j �OS/19/ZOl4�Services Install muich in 4'x 12'bed.Included in price. � 1 i 0.00� 0.00 ' � i ; J ; ! � ! � � � � I ; � ; ' � � ; ; ; ; i � ; I ; � � � � ; � � ; ' , ' I � ' i I � � � � ; � ; i � j ' I � ; � � � , , � � � -------�--------'--------- - ------- � SubTotal $1,490.00� �— Discount(10%)i $-14 09 0 i Tax(7.125°�)� $95.55 � _. � Totai f $1,436.55 Paymenti $718.55 i Satance Due $71�8.�0 �t G�a--+�� �v�-�-� l5 5 ��rr-�a--v-�� 5-t-, WSP Use Your !=" ; 2°.6 �J^v C}�RD`�RFBATE � � - � �E€�1�lr��S — if+i__�T P�-1�.1l._ �4�9-5 Rc�€��s'l 5-�� _ Sou��-� ��i�st S� . �ac.�� ::', - °:�5�� 1� h�EP Y3�R RE�t';'i �tE i URN PO►.I�Y UNRIES BY PttJU��LT T+PE l;niess noted belc�4 al��►��able r;.<«;•;�s fr,i �..,�_..�, ,,. , items on this receipt t�il1 be in the form 5/16X1-1;`4 FENU 4'JASH 7PC - � of an in stare credit voucher if the 2321305 99 return is done after O6/1?+/14 PURDY 9"X3/8" C1ST 3PK 5610735 2 @8.98 1 . 6 If�!I((�I'�!(���f(I���II II I(��I��I�ll!(��I 5671833 CHARC. FIBERGLAS 6.48 TRADITIONAL 2H KIT ARC C Sal� Tran�action 6734716 ��69.0� DaEN SKU B� TOTAL 227.05 1Q00054 (.�.5u DAKOTA Go-MM TAX i.125� PROROG JOIhiT TAPE TOTAL SALE 243.23 13130@4 1.25 CERiIFICATE-BARGt�OED 2l, PLUS 3 COt�POUND PAIL-BLIJ 1153378531 i312661 5.55 Re�raining Balance: $O.GG FAS�iPRIt�E 2 INT PRIt�ER tV VISA 3663 215.27 5504381 14.98 01346G FLP, ��INT LTX SAT BAT GR Swiped 5507126 25.98 ��'�g P�ATINUM FAINT EGG UL1t�H TOT�iL NUMBER QF ITEMS = 2p -f 3:yo ta� 5500975 4.�98 , S DURACLEAN PAINT SkTN BS � THE FCILLOt'�ING REBATE RECEIPT 4'lERE -{-afia I 5509660 �1'�. PRINTED FOR THIS TRAN5HCTTON: 2H 4" �;��� CHR 6704 673954� �� GUEST �OPY ?-1/2" EN� OUTLET tEE , 6796114 � '�'� The Cardh�l�er acknawiedges receipt of GANG�BLE BOX EXT,.�iDR 2-P 36i4503 �3:29� goods/services in the total arnount shown 2X2-36" CO�ONIAL SPINDLE i�ereon and agr2es to pay the rard issuer 1113420 2 C1.99 "'3-9�. according to its current terms. 5/16 X 2" CARR BOLi 4PC 2321733 2 �4.89 `�� tFlIS IS YOi1R CRtDIT CARD S�LES SLIP 5/16 INS�RT L�CKNUT 8PC PLEASE RETAIN FOR YOUR RECORDS. ��°�7jf7 0. 5 5J16X1-1J4 FENU ���iSH 7PC 8A = Ba��gain Area/Glearance merchandise 2321305 99 is r�on refur�able. Bargain PURDY 9"X3/8" C1ST 3PK AreaJClearance merchandise includes: One 5610735 2 E�8.98 1 . 6 of a kind, Closeouts, ana Damaged 48";(84" CHARC. FIBERGLAS product. Al? sales of Bargair� 5671133 6.48 �rea/Clearance �erchandi�c ��� �iral. TRADITIONAL 2H KIT ARC C 6734716 ~69,Lt� THRNi( YOU, YOUR CASFiIER, Sa�?tana TGTAt 227.05 86234 05 47?4 03/16/14 12:1oP!' 3t717 DAKOTA Co-�iN TAX 7.125� TOT�iL SALE 43.23 CERiIFICATE-BHRCOO::D 2 . 2153378531 Rerr,aining Balance: $O.GG — :±ISA 3663 215.27 --- — -- 013466 Swioed _.. _ _ ����-� Y°`-�� 15 5 B��a-� S�-' � sP �,�,�,, °.�""""' � j � � �' _ � .�... * �ff� .. A��_ .� � f� � _t� _ �`.:, ._'l' -,� i �% �r� �"_xt��,,f�(;� v ` ���� `'� �� �'_�•� • ry�: ��.�. �� � � a.,;� ,,. ��;: ;�� �„�l���� �' . !� - • ,. _.. r �'�� ` �`� f - - .. " - - . . ' . _ . , . . . .. . -yy. . ,� � . " . . . �' - . - . , . ��.,. - -� _ '`�_ _ ..�- . — ' . v -,i' . . ^ c_s�,+''Yt_ .... . t�' � . .. --�,- . . :� -.1 :,1-�*zw .4 �a' _r,. •>�ji', i�k.y,•�`� _ ,r '.. _ �5' l� �.. �,� � ��!4"� 1�� . �y .s� �i a! 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