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Varro (2) CENTRAL RECOVERY OPERATION 10/10/2012 ��`r�� '��!�' '��L� : O�i �i 5 2n12 THE ` City Of Saint Paul Minnesota HARTFORD City Clerk ,��-�-�;, .a ��::;�,• �.� .�,c�;Ch 15 West Kellogg Blvd. Saint Paul, MN 55102 Our Insured: James J &Joyce A Varro Date of Loss: OS/09/2012 Amount of Loss: $7,357.53 i L � /YJi,�f�'C� �`'`'`'�i M� � � l I� Location of Loss: Saint Paul, MN - Z2'(� �'"��—r�� Our Account No: SBB367403 Dear City Of Saint Paul Mn, This company carries insurance for the above named insured. Under the coverage provisions of our policy we were obligated to pay damages in the above amount. Our investigation indicates that the damages resulted from your negligence. If you are insured with liability coverage, notify your carrier. Please write the name of the insurance company and your policy number below and return it in the enclosed envelope. If you are not insured, contact the writer so that arrangements can be made to settle this matter amicably and without the necessity of litigation. INSURANCE COMPANY POLICY NUMBER COMPANY ADDRESS CLAIM N0: ADJUSTER: PHONE#: AGENT'S NAME: ADDRESS PHONE# Description of Loss: insured's recently installed water meter burst while the city was flushing the lines causing water to enter our insured's residence resulting in property damage. PLEASE REMIT ALL PAYMENTS T0: PO BOX 958457, LAKE MARY FLORIDA 32795-9958 Sincerely, ) � . `"� - j`''"'�--f--- � - Steve Parr Property And Casualty Ins. Company Of Hartford P O Box 14272 Lexington, KY 40512-4272 866 509 3574 Ext. 2308034 Fax: 866 285 5111 steven.parr@thehartford.com �� ! � � N N N N N N N N N � . � N N N N N N N N N � O Il') ,«; � � O � � � M � � � � � � � � � � � � O O O O O O O O O � T � � w,^ � � vJ .L � Z t mW a' � W a' 0 r:�1, amc w � ? 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"8 O �,':. N � C O � � C� d ��.,:: � �'' � C �' � � C ,� f� � � � o c� o o a� 0 0 0 0 ��s'- o ..�� O M � � O 0 0 �:° � o ;;� N � N d � � O � c � N � , O Q C � O Y � �.:�M.. �� a v ~ o O F°- « M E,1 C Q � NUTICE UF CLAIM FORM to the City of Saint Paul, Minne�sota Minnesota State Statute 466.05 states that "...eve.y petsan...whn claiau damagea from mry m�tcipality...shalt cause to be presexted to che governing bady of tke rnutiictpality wfthin 1&0 days aft¢r t1�ulleged lass dr f�ury is dfacavered a�atice staritig the ti»te,plac�,and ��,�»�ro,�r�of�t r��r ofcomperuation or oths��ettief demanded° Please complete this form in its entirety by ctesrky typing ar priating your answer ta each qaestion. If more space is needed,at#ac6 additiona!s6eets. Please note t�tat you w€!1 not be contacted by te}epho�e to clarify answer�,so provide as much information as necessary to ezplain yonr claim,and the amoaet of compensadoa being requested. You vrill reoeive a written acknawled��ement onca your farm�S teceived. The proce�s cs►n tskc up to ten�eeks or�ager depeadin=oa tbe nature of your clsim. ThLs form mast be sigeed,ind baW pages comgletad. If somet6ing does not apply,write`N/A'. SEND CUMPLETED FORM AND OTHER DOCLrMENTS T4: CITY CLERK, 15 WEST KELLOGG BLYD, 310 CITY HALL, SAIN'T PAUL, MN SS102 -�`�SJ ' �,9-� First Name ��r��5� Middle�nitial Last Name Cc�mpany or Business Name �� Are You an Insur$nYCe Co�npany? es No If Yes,Claim Number?�/:�,�9r�e.�i'�-L��s�u Q�-11 �-. �.o��-4`'�-'�`"ev '�_� �� t� 9-�- C�ie �� _,�,__ 5treet Address �� r � ,�`f `�� Gity �-y4-�� ,�3-e�f' State ��. Zip�ode �z 7�F� Day�time I'hc�ne��t..7�.!.L C'ell Phone( � - Evening Telephone(____j _ L=�C-�: 2�L�6 U�� Z �w�, BtlCt/ T7ate of Accide��J Injury c�r ate Discovered ��,�a-��1� Time Pm Please state,in detail,what accurred(ha�penedj,and why yc�u are submitting a claim.Please indicate why or how you feel the Ci af Saint Paul or its e�ployees are involved andlor responsibl�for your dama�es. � �Lc..�,l/� 'N'j (L�-��' /�/1,��.'"__�.t��r"�' c1 i�'¢J�Z'G__ ,�-�I�c.e /�, �� ✓/G?�4't� ��GLU�4' -----___ — Please chec:k the box(es)that most closely represer�t the reas�n fr�r completing this form: ❑ My vehicle was da�nnaged in an accident ❑My vehacle was damageti during a tow Q My vehicle was damaged by a pothole or condition of the street CJ My vehicle was damaged by a plow p�� 'v vehicle was u�angfully towed andlor ticketed/ C1 I was injured�n City pmperty f�1'C)ther type of praperty damage—please specif}� /✓L��-'�J�"�vJ+Fj �.---._� ❑ Oth�r type of injury—ptease specify__ _�_ In order to process your claim you need to it�clude capies of all aa�licable docume�ts. For the claims typ�ss listed below,please be sure to include the documents indicated or it will c�elay the handling af yaw claim. D�uments WILL NOT be relur9ned and be�ome the property of the City. You are eneouraged tc�keep a copy for yow�self before submitting your claim form_ U Prop�rky damage claims to a vehicle:two es�imates for the repaars ta your vet►icle if the damage exceeds $5(10.40;or the actual bills and/or receipts for the rapairs p"C'owing claims: legible ct�pies of any ticket issued and a copy ofthe impt�und lat receipt O CJther prcaperiy damage clai►ns: t«ro rep�ir estimates if the damag�e excesds$500.00; oi'the actual bills and/or receip#s for the repairs;detailed list of damaged 'Rems O Injury claims:�nedicat bills,receipts O Photograghs are always welcc�me ta document and support your claim but will not be rehuned• Page 1 of 2—Please complete and return both pages of Claim Form Failure to complete and retarn bath pages will resnit in delay in the L�ndling of yonr claim. A1l Claims-�1c�se com�lete t�i��t>a —� Were there wimesses to the incident? �y� No Unknown (circle Provide their naznes,addresses and teelephone numbers: �¢cy(�5 .c. .,�e " �- ,�,�.� Were tl�e police or law enf�rcement called? Yes No (�nknavm� (circle) If yes,what department or agency7 Case#at report# Where did the accident or injury take place? Provide street address,cross street, intersection,name of park crr facility, closest landmark,etc. Pl�ase be as detailed as possible. If necessary,attac�a diagram. � ,� 2 �r �s' l� .�t�� l �L r� /tf A-��t��- .s,S'l � �7 Please indicate the ama t you are seeking in campens�tion or what you wvuld like the City to do to resolve this claim to your satisfaction. �7 ,�S �7 . S� Vehicle Clafms—u{esae rnmulete this sectio� ❑check box if t�is sectian does not apptv Your Veh�cle: Year Make Model Licease Plate Number Sfsbe Color Ii.egistered Uwner Ihiver of Vehicle Area i�amaged ------ -___-------- ----- City l'el��ale; Year i�Zake IVlodel Licen�Plate Number � T State J��Calor �i_� Driver of Vehicle(City Emplvyee's N�e) Area Damaged_�..__._____ iniury Claims—olease camnlete this seetion O check box if this section does not ar�Ul� How�were you injured? __ - —_.._._ ___ . --- -_ __-----�- ------= --- --------- Wtaat part(s}c�f your bqdy were inj ured?� Have yc�u snught medical treatment? Yes No Planning ta Seek Treatment(circle) When did you receive treatment? _�` _ _ _ �_(provide date(s)) Name of Med�cal P��c�vider(s): _.._ Address -� 'Telephone Did you miss wark as a result of your injury? Yes No ' When dici ycru miss work? ___ (pravide date(s)) Name�fvoiar Employer. __�._._�___---__.____ .w.__��__.��_ ' __._.��..__ Address Telephor�e � �k�ere�f yu�are attacbing more pages tn this claim �'orm. Nc�mber of�dditional psge��. � � I By signing this fornr,you are stati�g tl�at all enformalitin you kave provide�is true axd correet to the best af ynur knowlertge. Llnsign�d farms will not be proc�ssed Submia3reg a falre claim can result in pros�cution. I3Ate form wsa completed_ /�'�� /' Z� Print the iVaa�ie af the Person who Completed this rm: Sl�.�- \ � ,�F,'�R Signature of Person Malci�g t6e Claim: • �-✓`- Revised February 2011 Distribution Divisican 19Q0 R4ce St � a Samt Paul f�J 551 t3 : , l,iz Quicksell TECHNICIAN s'hane•653-2fifi-6B'+5 ��ax•0`51�266�('s878 E-+n2d•tiz,4urcl�seN�,stGdut mn.us . �. � �i, ,:. �> Insured: VARRO JAMES J&JOYCE A Business: (65])983-0311 Property: 2268 TIMBER TRL E E-mail: varroj@comcast.net SAINT PAUL,MN 55119 Home: 2268 TIMBER TRL E MAPLEWOOD,MN 55119 Claim Rep.: Brandon Minikus Business: (630)692-8548 Business: P.O.Box 14265 Cellular: (763)200-3703 Lexington, KY 40512-4265 Eanail: brandon.minikus@thehartford.com Estimator: Bravdon Minikus Business: (630)692-8548 Business: P.O.Box 14265 E-mail: brandon. Lexington,KY 40512-4265 minikus@thehartford.com Reference: Company: Property and Casualty Insurance Co Claim Number: PP0010834742 Policy Number: SSRBC792203 Type of Loss: Water Date Contacted: 8/9/2012 �� Date of Loss: 8/9/2012 Date Received: 8/9/2012 � Date Inspected: 8/13/2012 Date Entered: 8/]0/2012 9:1 1 AM �� Date Est Completed: 9/25/2012 10:30 AM Price List: MNMN7X AUG12 Restoration/Service/Remodel Estimate: VARRO JAMES J & JOY � i I I I � I = �� c Dear VARRO JAMES J&JOYCE A: It is�ny goal to provide you with exceptional service.You may receive a Claim survey by email that will give you the opportunity to comment on the service you received during the processing of your claim. Your feedback will help us improve the service we provide to you and other customers. Please contact me or my supervisor if you have any questions or concerns regarding any aspect of your claim. Thank you for trusting The Hartford. Enclosed is the estimate I have prepared on your claim which shows the adjusted claim amount,the Replacement Cost Loss,the Actual Cash Value Loss and the Recoverable Depreciation per the Loss Settlement language of your policy. If you receive proposals for the repairs that exceed the estimated Replacement Cost Loss amount enclosed, we must be contacted PR70R to any repairs being made in order to resolve any discrepancies. We will not honor any supplemental claims withoutpriorapproval. i i i, � I ; I VARRO_JAMES_J_&_JOY 9/25/2012 Page:2 ,, �.� A payment has been sent to you under separate cover. Attached you will find a fonn called"Replacement Cost Explanation of Payment".Please keep this form until the repairs are completed as it outlines the amounts paid and payable to you once the damages are replaced. For information explaining the process to recover depreciation or any questions regarding the estimate of damages please refer to the Frequently Asked Questions listed below. Frequently Asked Questions The following will answer some of your questions on your ciaim.It does not alter,delete,or replace any of the terms or conditions of your policy I have a replacement cost policy,but my settlement was based upon a depreciated value,or Actual Cash Value(AC�. What is actual cash value? Actual cash value is the amount it would cost to repair or replace covered property with material of like kind and quality,less a deduction far physical deterioration and depreciation,including obsolescence. Depreciation is applied because you can elect not to repair or replace any or all of your damages,although in most cases,it is highly recommended. The policy provides for an actual cash value payment until your damage has been repaired or replaced. What is replacement cost(RCV)? Replacement cost is the cost to repair or replace the damaged property with and item of like kind and quality,without the deduction for depreciation. How do i receive payment for full replacement cost? You must notify us of your intent to replace the property within 180 days of the date of loss. If you have a signed,executed contract for the repairs,please send us a copy;or,upon completing the repairs you will need to send in your receipts ar invoices. If your repairs are]ess than the estimated amount,you may only recover up to the actual cost of the repairs. What if i anticipate the repair cost will be different than the amount listed? You must contact us immediately to discuss the matter further,prior to proceeding with the repairs. lf you have a contractor assigned to complete the work we may ask for a detailed written estimate for our review. What if i want to perform the repairs myself?Will I still be able to collect the full replacement cost of my claim? You may elect to perform any of the repairs that you choose that are included in our estimate. If you choose to perfonn the repairs yourself,please notify your Claims Representative. We will work to ensure that you will be reimbursed for the reasonable expenses incurred. Where do i send the receipts,invoices or contract? You may fax the receipts/invoices/contract to(866)809-1955.Please be sure to include a cover page with your name and claim number. Or,you can mail them to: The Hartford Insurance P.O.Box 14265 Lexington,KY 40512-4265 What if i have any other questions? Your Claims Representative will be glad to address any questions or concerns regarding your file. Please contact your representative at the number listed below. Thank you for allowing me to assist you in your property damage loss. If you have any questions,please call me. , I VARRO_JAMES_J_&_JOY 9/25/2012 Page: 3 �; �� REPLACEMENT COST EXPLANATiON OF PAYMENT Statement as to the full cost of repair or replacement under the replacement cost coverage,subject to the terms and conditions of this policy. Claim Number: PP0010834742 Policy Number: SSRBC792203 Agent: CUSTOMER SERVICE Insured: VARRO JAMES J&JOYCE A Location:2268 TIMBER TRL E,SAINT PAUL,MN,SSl 19 .............................................................................................................................. Type of property involved in claim:Building Date of Loss: 8/9/2012 1.Full Amount of Insurance applicable to the property for which claim is presented was ........................................................................................: $212,400.00 2.Futl Replacement Cost of the said property at the time of the loss was....:$UNDETERMINED 3.The Full Cost of the Repair or Replacement of the damaged property is.: $4,076.83 4.Applicable Recoverable Depreciation is...............................: $437.92 5.Applicable Non-recoverable Depreciation is....................................................: $0.00 6.Actual Cash Value loss is .............................................................................: $3,63891 7.Less deductibles and/or participation by the insured.........................: $500.00 8.Actual Cash Value Claim is ....................................................................: $3,138.91 (Line 6 minus Line 7) 9.Supplemental Claim,to be filed in accordance with the terms and Conditions of the Replacement Cost Coverage provided you notify us of your intent to do so within 180 days after the date of loss,will not exceed...............................................: $437.92 (This figa�re is that portzon of the umounts shown on Line 4 and 7, which is recoverable) Insured Signature Date Insured Signature Date Minnesota law requires the following statement to appear on this form. A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime. �'� Sincerely, I Brandon Minikus,Outside Claim Representative P.O.Box 14265 Lexington,KY 40512-4265 TELEPliONE(630)692-8548 FAX brandon.minikus(a,thehartfard.com , Please be advised that nothing contained within this document or any act of this company ar its representatives is to be construed as a waiver of any known or unknown defense we may have under the policy. Nor does this letter waive or change any provisions or conditious of the policy. VARRO_JAMES_J_&_JOY 9/25/2012 Page:4 E �� VARRO JAMES_J & JOY Main Level r�� j =- ( Lower level living room Height: 8' � � 860.00 SF Walls 488.00 SF Ceiling 1 � ~ { I 1348.00 SF Walls&Ceiling 488.00 SF Floor �-�-~� T~ --�1 54.22 SY Flooring 107.00 LF Floor Perimeter 1 + 110.00 LF Ceil.Perimeter 1 �. �= Door 3'X 6'8" Opens into Exterior DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV Servpro to remove tile flooring and baseboard 1. Vinyl tile-High grade 530.00 SF 4.71 2,496.30 (249.63) 2,246.67 2. Floor preparation for sheet goods 530.00 SF 0.50 265.00 (0.00} 265.00 3. Baseboard-Detach and reset 33.00 LF 1.94 64.02 (0.00) 64.02 4. Content Manipularion charge-per 3.00 HR 39.22 117.66 (0.00) 117.66 hour Servpro to remove contents,3 hrs to replace Totals: Lower level living room 2,942.98 249.63 2,693.35 �'g i Stairs Height: 17' 4]9.63 SF Walis 50.05 SF Ceiling � 469.68 SF Walls&Ceiling 79.67 SF Floor 8.85 SY Flooring 37.17 LF Floor Periineter 33.36 LF Ceil.Perimeter Missing Wall 3' X 17' Opens into Exterior DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV 5. Remove Vinyl floor covering(sheet 79.67 SF 0.81 64.53 (0.00) 64.53 goods) 6. Vinyl floor covering(sheet goods) 122.17 SF 3.40 415.38 (166.15) 249.23 � 7. Floar preparation far sheet goods 79.67 SF 0.50 39.84 (0.00) 39.84 8. Step charge for vinyl installation 13.00 EA 14.72 19136 (0.00) 19136 Totals: Stairs 711.11 166.15 544.96 VARRO_JAMES_J_&_JOY 9/25/2012 Page: S �� Debris Removal DESCRiPTiON QUANTiTY UNIT COST RCV DEPREC. ACV 9. Haul debris-per pickup truck load- 1.00 EA 123.22 123.22 (0.00) 123.22 including dump fees Vinyl from stairs,servpro removed and disposed of vinyl tile flooring Totals: Debris Removal 123.22 0.00 123.22 Total: Main Level 3,777.31 415.78 3,361.53 Line Item Subtotals: VARRO_JAMES_J_&_JOY 3,777.31 415.78 3,361.53 Adjustments for Base Service Charges Adjustment Flooring Installer 13l.96 Total Adjustments for Base Service Charges: 131.96 Line Item Totals: VARRO_JAMES_J_&_JOY 3,909.27 415.78 3,493.49 Grand Total Areas: 1,279.63 SF Walls 538.05 SF Ceiling 1,817.68 SF Walis and Ceiling 567.67 SF Floor 63.07 SY Flooring 144.17 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 143.36 LF Ceil.Perimeter 567.67 Floor Area 587.50 Total Area 860.00 Interior Wall Area 994.00 Extenor Wall Area 112.67 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length i � VARRO_JAMES_J_&_JOY 9/25/2012 Page: 6 ; �> Summary for Dwelling Line Item Total 3,777.31 Total Adjustments for Base Service Charges 131.96 Matl Sales Tax Reimb @ 7.125% 167.56 Replacement Cost Value $4,076.83 Less Depreciation (437.92) Actual Cash Value $3,638.91 Less Deductible (500.00) Net Claim $3,138.91 Total Recoverable Depreciation 43'7.92 Net Claim if Depreciation is Recovered $3,576.83 Brandon Minikus � VARRO JAMES_J_&_JOY 9/25/2012 Page: 7 � Recap by Room Estimate:VARRO JAMES J & JOY Area: Main Level Lower level living room 2,942.98 75.28% Stairs 711.11 18.19% Debris Removal 123.22 3.15% Area Subtotal: Main Level 3,777.31 96.62% Subtotal of Areas 3,777.31 96.62% Base Service Charges 131.96 3.38% Total 3,909.27 100.00% , VARRO_JAMES_J_&_JOY ' 9/25/2012 Page: B � � Recap by Category with Depreciation Items RCV Deprec. ACV CONTENT MANIPULATION 117.66 117.66 GENERAL DEMOLITION 187.75 187.75 FLOOR COVERING-ViNYL 3,407.88 415.78 2,992.10 FiNISH CARPENTRY/TRiMWORK 64.02 64.02 Subtotal 3,777.31 415J8 3,361.53 Base Service Charges 131.96 131.96 Matl Sales Tax Reimb (a� 7.125% 167.56 22.14 145.42 Total 4,076.83 437.92 3,638.91 VARRO_JAMES_J_&_JOY 9/25/2012 Page: 9 Sept 11,2012 2268 Timber Trail E Maplewood,MN. 55119 651-983-0311 The Harcford PO Box 14265 Lexington, Ky 40512-4265 Dear Sirs: Please find attached two compieted pages on Hartford's insurance form ta cEaim personal items for claim#PPOO1t7834742.We have attached receipts and literatu�e to get estimates on replacement for the entertainment center etc.,as wetl.Some items are aCready purchased and designated on the form. If we can be of any assistance on getting you further information pfease feet free to e-mail us at varroi@comcast.net. Phone tag does not seem to be working very well. We have also enclosed an e-mai!strin�proving we are replacing the floor tile,and linoieum in the basement with a better produrt from Garage Floor U�limited,this week.This should per your phone ' instructions get us the RN of$2,942.98 for the floor tile and a RCV for the steps af$711.11. We ' understand a check has been already cut which induded the AN for these items. ! i FYI,we have sent in a claim to the St Paut Regianal Water Dept. today for the$500 deductible we '� unders#and we will have to pay, � I Sincerety, � , �� Jim /loyce Varro "'DP.1�1 °DU:D�9 fJ��iCG� C iL V�6`u�v.4�M V V J ✓ PCN: 30014201209143003055 DCN: 30014201209143003055001 Received DateRime: 9/14/2012 7:00:00 AM Pa e 6 of 20 G� � � � � t� = a r $ y \ � . i 4 A [�� '� $ �..r, �� "r �;lt f,,'1�. �� N �� ::� ��n � � a �w � � � ,� � -- U � :s:, ;�, �� °a „ g ,-.. $ r o �=i ��' P � " ° m •� g; �, m p � `c' � � n ,rt ls �- , C ti�, �m.. �O°'��,,� A � a � p, s n �' �3 � {� q 'r ,�� °�$D°�y � � � a W � � �� r � u} , .- t.x�. 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Q' � � � � "� c. ` �1� Q � ., d " �'� —. �, ;�:�<,; � r� C 1 -y. �y 4 ••�,-}' �� i � RJ p . o._� \ &�Y?"'. �q Z � {s 't� p'� '�' N a I . 0 \... �y � � f � � .��:.a � 4 A � W � � '`�,�_ � � �. :._:;�� g �� A �� , �� m .� � �,^_ v ' _`� � d Gv � �� ''DP.U°J °D�6�9 LJ2�tff.4iC S ,� � �b a a..,.A-�..�..,� � �, 1 .,,,� g . = r PCN: 30014201209143003055 DCN: 30014201209143003055001 Received Date/Time: 9/14/2012 7:00:00 AM Pa e 7 of 20 �� t� � = o r y � C1 °Q . �,,� � �f'�A �A �� - �y �4� °r' S I � y� /1� .Y :,,�I.�!""'�� - � �r r'1 ; , ii. �+" 4 * ^�. c�}Y $� � N �� r� a'��la Vt � � �� ' � ��:� � � � � �; j� � c� �$;��.� �� , Rt g • � f� Q �} �+ _ .��''�_ � o � �� m �� , _..- � � � �'ro �,.�. �,.�'° `''��`- y�° � . � � � ".� S ' <" � � � � ..,.�'� °��DN � �, .D '�r �-�. C re > w�� a� � � p � � � � �n�, M y: 3 � 4 � �^��•,�, C � � � fb � � L/�� « , � � � 42� � 3 , � n y,� e t '�'�-` ' �. � .;., , � � m � � , � � a .., -� � � � �'G � L,�. � � �"' � .__." � � �c �...�, '. "�}_,,;° � � 3 � n � g�ii f�d- a�� .�,,��. m � � �f� � � �.p :`�4 �F. �} n � .�'r,'� J... �4 � � .�" r'�� C) Q - � t� .�..• � �^ �. � +`,r�� ` � 3 � � "� �P � } �+ �° � ; 9^a� . � �� ,_ !1 y � � .�` 5 �A C7 .� � � � C !r' � ("f� t7 � 1 rr,;: g: .a'� 3 = � �" � �,, n � �'; �,�° s r� � . � �-� F^ � , °��•'y�`+�=� $ 3 a c m ' (p � �y/�( 'O 1 j�.:� f= �� q � 'r � i.�`'•�'l�F: �� a � C! � '�-�► 7 � }��`� t" _��,'�3 tfy Q- � � � � V��Q"_y�tA �1�,�, � � � x � � � A � �}Y��';. �i Z m ,;:. •~� � � _ � � 1� . � � � �� b�� ,� �" z a, 3 � � � .�� ^:�a�,.,; �' . � m `,� � v� � .,�_ - � . � �, p; :� ` �: � `�',�-: � �'� 'b S V �.,�� C m �y>-�~�s.> a� c,,, y � � . '�: :�� a� � �' °� � � � s�`� V�' — o � 3 -�, �• � ,� �;.; . _ . . _� , . .� ..}� �, _ ;�:.=: ,�� ,_.. � � g ` ti:: : � ��.- �� r � • '7 . � �' � � � � .��,, - �� J $ � •�QC�r � . � r � , �' � . � :' 4� �,V �� Q � 3 .� ,$';�� ai � � � � v ��`�f' � � °4° i '. ��=r' $-� g _ � �a "� i � _ � N .r:�= �a � � „�` � .r.�;�: + D � � �` � � ,. �a . � � o �'�` � � .�x,�,,, z „ `.�" : � � :� � �� 1 •'�1 ;�.s ��'' � ° - 'V � .�:� �.� � � �� ' �, � °9�4 W rD CE�9 A ��Q�0!C � ;� ,fi` � ��' � � �v.a�6v� va-r..e� v�r � � �1� �' t ~� `fi . N PCN: 30014201209143003055 DCN: 30014201209143Q03055001 Received DatelTime: 9/14/2012 7:00:00 AM Pa e 8 of 20 Rose Tnink High-Tech Steei Trunks Page 1 of 2 . �� ,� - ,� . .. ' � � IRECT ` � �� Call Tc►II Free: (800) 221-6737 -within Nerar York call (718) 257-3131 High Tech Corrugated Steel T�unks � Faotlockers These aitractive steei Uunks/footlakers are extremely rvggn!and durabie.7hey arc corestn�[ted In the U.S.A.w�th a wood prr�duct cai�nt pSg[1y3�is Wminated anci polishcd.TTee p5g core teatures t�e same I sYrength as p�ywood,and llexibllfty that oMy OSB can ofFer.The siecN laminate combined wit#�the OS8 corr 1 mak�tt,�s trvnk one of tfie s[rorges:anG rtw5t durable trv�ks avaitabie. � Strorp enou�h(or a grown man Co stand on,and attraCtive enouqh to u5e as a piece ot accent furnitu�2 tnese crunki are a Onenornenai vatuct They are ideal lor use as a camp trunk or coliege trunk,or for travei and sn�pp�ng arouna[he world.AI!oF dur tr�nks are 9uarantee0 for I�ie and have tne following teatures: • Comma[ed steel-reslSLS oen[!ng (+r*ost of ou•rnmpetltors'sieet{N�ks are nat <.., cartugaced,ar,d therMore arr oRen damaged in ,�.` " snipping} + AiI b�ndetl plywood � �� ' s PDIISttCd b�55 hartfwdt� f"`� t C^Ul4y uKk�tl Zntl b4UMi CdgCK more deta�l • [hiraWe lrandles �� . ~.•� ,[� [h � • l..pCkS with hdSp ,�;._. . _- � _ � more deta'�! ) • tlned irKeAor • Fully iir�t9 iravs avaltab+e _.... --- /t. � �� _. • Factory InSWItEd w�eels opt�onai 'r � + Ufetime Warranty �� } . �0't"�cL ��9�9�D9� ,f—.• �r , , �' Not�; se0ectl�g ttte wheel optiqi beiow w11f a d 2 Irrthes to Trurtk height �� c.��` �, `"�+ �l � ^�� Order you�Rose Tru�k now. 1 ' ��,� Styfe Size With With Tray + `,�� ien9G^"""'°a+"^e�4M Price Tray Wheeis Wheels -' ✓ �? �"'� H71D7 32xi7z12 $i46.99 ;164.99 ;I70.99 $]88.99 � J -`' A` ��+ . �'� �`' �i.� ,, � 23 D�untls _. t,j '` f„1 ; 3.25 cu,ft ,f'�AdC �Add �Adtl 1y Add � ,� , 61 17near in ,,,�. -- —-� - - - - —- � . ,'� - /�� HT107 32xi7x15 yi69.99 S287.99 5193.99 �211.99 ,,�� a,?4�cu ft� llAdt3 'l1Add �(Add 'i�qdd f� _ � � tra+,nea�an '. -�..,.._ " KT108 �6x20x13 $189.99 5207.99 ;2f3.99 $231.99 _� - � 3o pounes q Add �Add �R4d �Add �---�°�1 i.81 a.ft. � �______ __..�,_ 4_ G9 IintLr in. �� ...' — HT]!1 Perfect Callege S22a.99 �242.94 ;248.99 ;266.99 r�- -. Tfu n k �pdd �Add S�Add �Add ! �' "�� 36x21x16 — — l._ � s�vounds ' ?.09 cu,R. I73 linl�r In. N3"102 36x2Ix21 $334.99 S�52.99 5358.99 g376.99 35 pour;ds �Add Ti�Add �Add F�Add �� 9.14 cv.R. _ - 78 linear�n. °9L'D9 �9E3�H A�?rP71tC �i. i3 bI i 6 V L J."'9 M J Y J wI �.._..ri...,._.._._�...._._�, ..,.__r_ i _.__� ._._t.. ..-.,... VNl'7!'f1L1') 'CN: 30014201209143003055 DCN: 30014201209143003055001 Received Date/Time: 9/14/2012 7:00:00 AM Pa e 3 af 20 ClasetMaid 3 ShelfOtgani�r White : Targci Pa�„e [ af5 . e .�� . s�+n +�.q�.>Yr mx.cc�,. ,.MCn �r�n {�� J �+se+, 4rren mby Idds nar�e hm�,re p�a ei�x�o� � eoys ne¢�n►a aeaAy d�arr�a s�,r�n� Ilne��ron w��kry na Gihtircb nptstti�a T�rp�tUSn � ca� *xv.+ , nen. � +mno�+>wMw,w � �tano.a..a.�r,w eion riw.� ..= -° _..».__. . .�„ t... -,� ... � .... .. ., ` � ��r� I. � � �l eJ '- - 1$ +{ xA / /f_ y,�_ � !b`,. �1�. � I �V�afltrNi plki '' � C �: �°�v"., �. ....,`rp.,f?�a9��-sa+�lYb �,.'',!' «' ,,. Clds�illtl�BheH 01p8�Ixs�iMAItA ,,-r I.,�f �f" Sl..: � � � .�°�'�_ �.. � n 13acY @niM /// �� . .. 34C�nqitby MO M Ib�t prhlf �j;�.� �.. �`il� � �' /`�`� , sn� � �f �. �!J L�L.�.' i � � � � ... j , � �� 'r�} �c� ,G�<.- ✓�'� � _.�...._ �.�---- _- .. _.._ �.�.- Rrs..pan.e.ar:..ryl...nd�vaiFaE+in mr�"vn'dy � ......_.._.___.e... _._...�_.,._�....- rtcre wU ander yu�.ew.rrwd du.nuu wo a.wu . K4Rt1 Ail1t�lf.. takR 9ortKd ol yax lens mi0�pace w4h trtp Ran Cioasll�le�G1 Mqf fa�iavp fhippiny. �. Wtl�G psrmerrt�or bcoks.TM 3 Shelf Orpen,zM I�unq Nroe�Deaau sf+slvss '�. »M e�ntlmea�h n pn�t tor yw tlow�a�n ya.�ortce.TM swrtfy trams with � Rm�m Wttao:Thr,tam cen Co renm�a eo err�+�Tmpn smre v terpe�can a wru�rnen e€tw.s tar wa.q muaps u,e�cx ma rw mrrl,.q a«s�rswns • na�m Gaky I wRh V+e 3t rw,Yarts:N.t-0ar.SDn�rM�Y�C�10-GtA��tpWZeri • TW��DPf+G��'��n� � • EaM�eW SMP OMrwnslan.:3<".79 mdas Nrpv+ .1 s o ku,�wcm.2.3 . s NvmDrt M P4tp:t � v+cMS Mp1x �. I . Mdudra:hlarvvirrC kardwNe a Er�.�tl0 Wify�t;11..1 paxrla . • FasWm'MtditGanpt�9nerst Utet,S�atliable .. • YiOrtY:YM�oG l.amuW OtA9r IrtfO. '��''... . Can wid Cletnkq,V,�q[„t�an VNth e Damp CutT ��,.. • WiMrofortat]1.5'Hx120'We11.53'l, • OMlo�ttsmM:t2193t7S '..... • S�w�tbm KumMr IOPC11:i)02-i 1-0Q2q ..''.. a Kem can b6 gRt wrvp{Nd .. • Aqdndy rpuretS.tw�s na O�idsn � + Mads n Ns{15w a knpnt�t5 •96�N ''PQ'S�'4 A��i�9� � d V i G V V i"7 J J� ✓ .� �.»...��............_..,.. ........:r_,,.�..__._....:a � ��...�o.._................�.:.e� i� 7'11(1"}"')'TR7...,,.,.—v,...�..a.,i oi7n��n�� 'CN: 30014201209143003055 DCN: 3001420120914300�055001 Received DatelTime: 9114l2012 7:OOc00 AM Page 4 of 20 Neal Floor Cabinet with I I}cscar and i Open Shelf:Tas�get Page t af 3 ��.� �� f�m raw941i[? my�OOOSS.tV ffllCh y��Qy�y (i� J WOfTIBti Ri9fi b'�i 7y 1�5�6 r1qT8 �IATl�aB �T �'0�8 �I�TI�. �D�$ �g,�►1�� G�3B 8@Lf1101E tMd a aton WaMdy AG GIlfCpCy repistrls3 iarqetilsb Q cart TN�M ' M1/MtuN > l�WaoA NTlO�fR ti101\VMII{ $94.99 lNai Fbor Gwbin�t wkh 1 Door snd 1 �-� �— —� t7pen SMIf _ -neaM�v.r+w,,vu,or�asso �(/f:�*� yC j'. 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' �`""`'.--,._.�'"'y�.�- wnw,pano�n,n�ss«�a.veua��b m+r v.n�r uon arid fln�r�e . - �- — -`——�..._._.,._._.r_ . _... -— ywe�n.ao sw.�e ttua er�n ru.�wwa ��—'-- -- — - ' _ � fi ltrm drtsih. �: Fhs Neai Fbor G�rot wrtn one aoor end w tlrawe*n wrrite rn�sn t4fxs sieak special offl�and dsaie. 3e»s far a mMerrt bdc.It fsenrsa a temP�l4bsa OoM ea)ertteG vnh av1•wmc • ih4 rtem 4�d+es ta Fee enppnp whert rn�a st��0 S:A m puaMyirq dems Oes�+.eM Dlve40 r�ld:!'Ki�T��urtit df�ra piMty et Rdape sPete wrth one ' ofler tlata�t ',. oper sheM ufC oM irrenor s6,�,ataEls shstl makinq e easy io uore�te�ns d � �.. tt�tfsrent hsi{�b TM met�plber dtwa!elbvs for ewsy open era daee ��i� �,. oWratan.C?y�ue1 daM dowkno0s s�+ownee Cr rno0stn aecpn..th.a� �'�,. wmo�w4ih psandy na�ti�varo • R�bm YW+aI:Th�is r.frn t�n D�rei�xrnetl to any Ts7Ht stara or Tarp�t aom I • Raqm PpiiCy I • fashtrss:Tempare0 Gtase.Aqv�h Strff • Taryet shyp�q enC OeN`niY 6nfam�on • F��M M�SM01:M�F�ort�posRi,HarcM�uaG • NAe teqrst thsi IMa asm caruxtt be stt�e�a 10�O 8oz�ro • MsW flnlaY:N�ee� • E Wm�d Ship Gimsns7oro�3�0�rltes I�n.�4 2 r�ct�es w�lh�6 9 s Nvmb��of 81»�vss'� ;'Ky,ea�9�.� r NurrWar MDoo/s:� . EsHmate09Aip WsipAt�2i.Ofi Fps�4s • Maulm,m SRNt Wafptti Cq�ciq:20 0 ib � • Gss�nd GNm�np�'AkW Ctsen weJ,a Dartp Ga.n othB�Info. • pm�{WOm:32 a9'N x 15.C'W x�'.2.C'O • OfWM Ibrt1I:152fi67t12 a�'waaGY�9 f�t'.'�'.72P;SIC IC i—II J J � J htt+��1l�s...�.,�nrv.a�tnn+r+!«s/...,.a1..Flnnr.n-..i.:..at�_as..rtk_}_rinnr .s.�d_1 ......>.. .�.4...1FI..lA .1't7I.l.1M Q/7li/7/117 PCN: 30014241209143003055�CN: 3Q014201208143Q03055001 Received DatelTime: 9/14/2012 7:OQ:00 AM Page 5 of 20 � �� n � �-- ___-- S �O!'@ 5�!l111t,�. o �+iore doing." s3�a rnnaaacx r��.A� M00�8URY'. M�J 55125 {6511714-8751 1 ` ?810 €�4;3 38524 08r21ik2 01:38 Pn CASHIER SEtTY - BB46wE 046878273445 WOSE REPAIR �A> 5/8" FEMAL� END M05E f�?AIR 2(13.47 6.94 SALESTTAX 0.49 kXY(X}txXXXKXX3659 hUtiSTERCARG $7.�33 AUTH CODE 035808/6]3a627 iA �lilllllll�I ��I�I��inlli� 4�Ill�llllll III 2a10 ;3 s _4 �srz.�� i2 i9.� RETUR�t PDIICY DEFINITIONS POI.ICV ID DAYS POIICY ENPIRES � A 1 90 11t19/2012 THE HOME OEPOT RESERYES TF{E RIGNi Eo IIMI' / DENY RETURNS. P�EASE SEF THE RETItRN POLICY SIGA! IN STtIRES F(3si �TAi�s. BUY �tJl.INE PICK-UP TN STt;RE AYAILAELE NOf� ON HOMfOEPOT.COM. CQNVENIENt. EASY AP(l NdST 4ROERS RfAOY IN LESS THAN 2 F�l1RS! ■1k/%YYl'R1CXilf}ftY31Y'�f11�tf�tlfllt'411Rfi\lt1t� EIVTER FOR Ag CHANCE HOME�DEPOt�U�aOa GARO# Share Your Oofnion Mtth Us? ConUlete tho br'af survey about vo:m store visit and enter for a chanCe to win at. www.homedepat.carn/oA i r}i sx� GUMPARTA SU OPIIVTl7fV EN UNA 6REVE ENCUESTA PARA LA OP�7RT l.1NIDAD C�E GANAR. UsFar IQ : 80147 77'350 P�ssword ; 12421 77�;37 i � Fntries rm�st be entered bv 04/24/2012. I Entrants twst be 18 or otder to entar. 5e� c�mplete rules on website. No purchase necessary, �o�ya�'o�v A��ac � t i 1I V i"'f v w Y�� J � PCN: 30014201209143003055 DCN: 340142012091430Q3055001 Received DateiTime: 9/1412012 7:0�:00 AM Page 14 of 20 � 33-�'taOEF Amish Fumit�ue- Hand Crafted Shalccr and Missian Furniture Online Outlet Si... Page 1 of 2 . � . � ��rt � �� "; ✓ tn Stot�Itrwt�tory �`r'}' cancan us G vww o.a.r � c�iacka,ti J��c�:sax.�w��:X•X�-�i�ri� �'ftutn�nt>"tat,ib,.Fnarrtamment�en3ers>LYxn eow�ce...e.,e.�t�� 7oo[s:�� *.'�IA� >Gentennisl De�uup Wptt t*+it>O� Centennial Style Deluxe Wall Unit in Oaic �� `��'___.__ --`' r�---� "�!• � �Ci,.�s� ..eeo„t�-- -- s�.u,on t.Mrtq R�oom c W�om oP:;o,,. ' .w o0 _�. . 01*��p Rnorn weau n�c. � — �— s�.�oo .� s.�n� -s�si o0 �fCpf6 �.�� .1_..MOwxr RKC. � �_�--�,tS3.uO.oO / ,_._.�...�.�..m..._...._�. �.-�.._ ._ � Ohr:��_ �dtl h�m �: ��m • :'T7"r,.` + _. _ "."" ! T7f'J//iT0 O �'�r'+r,.� ^1 Z" t �" ErttfflAU1TY4Q7lt • �� ' C,oc:,,,,w;nu rn„aNw,.n,..onc�nq,.,n.rtirn tn.ow+�.v ''.. � . 'f ch'Y�f=4. . ` �5.��.SI.�l�l4e�.� Od�SWT: yldl„YLYi) . 4 VICw 18fOpT�t�1130C '�e��^ s� ._' • Amish ,ameroom 93 S W:19.25'D x 6S'H fumicure � � �oer�n ukes nws.sq,W m ur • Amish Ster�olMedi� Hotds a a5 5"Wide TV _- . .----_ »nu rar n�erws�4e Cakme� -Fiush Qrawers and GoOn Full Ertension prawe�Siides •6 AdjustaWe Gtass Shelves in Ca�os � �c p�� '3 Touch trghtinq in Curias �5�,�� •2 Adjustable Wood shelf �� Hsnqing�tk is cPtionat -Ptease ask about th� � ,SC Yf f�' `',' '�_ taN Ieoan ' w� � _ .. '1 i- ._ _ , � ., � �,c �/ UpFwtMtad fiw�dtttro :`.� t` " �'-� C`;',f �:. ti�'� l.]!1s. .� � s """ �� .,�r,'��,,/./l .�-, �-,, � �.�� +ish Oudet Store `� � � � ..------�.,�_-----°-- _^---•�.�«-_ ,,,�n.:,� Ute 7,N3 .-`"'.'m..��— ) .. �i,„t � r,., ,f .. a.� ,,;;�L.. �,..� � t`� ! e j# _� �." 5earch by SxU q �, - - . . !°J� SIGNUP TO GEt AN E•MA;t (7F OUR SPECIALS First.Neme � tazt Name Ertteil f Sub5crtbe � ' I �"0 G9 9 �'9 0�m A A�'�'f9'�'L':•, • � ii. Y i�V V i'""0+��v J J 1 hnn�/i�xnsnv amicF,�„�tlotctnrP rnmJnaoa�fm7n=14d(��7 R/7(�/?nl'? PCN: 3�14201209143003055 DCN: 30U14201209143003055001 Received DatelTime: 9/'#4l2012 7:OO.QO AM Paae 2 of 20 - � � �' �� :.��: � H�pOB�iR`t - 053-735-7083 C8I23/2112 10:A9 .AM cXPIRES lli�l/32 ��I��II'l�I�f�I�)�II��1� (�20CERY _ 2100?012T .3TAiE FAi? FU $3.29 212�40300 CAMP6�i_I.` FN $�.80 . 2S2I$082$ t1P SQ� FN �i.�i$ 1 261d00638 lIQ51E5� FN SS.89 1 251010131 HP BUNS FN $1.77 264Q31I57 MP EG�3S FN 1,89 284110497 SG10 S�.ICF FN 2.G9 STAlIOl+IERY-�FICE ~ ��'� D5425�p26 PNOTO Ai.E�1'1 P �"� �9 - 507�3729 TAf�GEi CC+JPON - S�-`�` it�T�tAI 52�.10 T = FW TA+i ?.1254Y or $13.93 $1,�D T�TAk_ $28.10 x;Yi59 MASTE�i,A�D CHARC� $28.10 1 INDICA(ES i0.YINCS Terget p�a+'�r�3cy de'r� here to ne!pi �iam - l��:e ht-F 98n1 - b�tr� iat 9am - 6pn iun RECM2�2236-069�J-OQ8+)-5731-� VCDk751-252 247 ,II � -�� cv��r /,ta�ct� � 6 V i 6 Y V 4�1f V�.!Y J .J 'CN: 300142012Q9143003055 DCN, 300�t4201209143�3055001 Received Date/Time: 9l14/2012 7:40:00 AM Pa e 15 af 20 ! . ' , 4 ^�„ � � �; �ar� s�vi�g. o N�ar� doing:' 8334 1AMARACK VILLAGE k00Df3URY. l�NV 55'125 (651)71A-8751 �� t 2810 �0001 2854b 08/29r'l2 02:54 PM CASHIER P�TRICIR - PAH6�15 �,. * 08�5969558060 vINYI. TILE <A� � r ?M dR�GINAI - D�IGE SLkTE �'A ,�`' "' . +i::i; ;i;s „ .;.35 01920(l002028 120ZRI8MSKLR �As -Fr-4'1�. READY MIK RATtMOUSE KILLER 120Z 4PK 03D699438181 3/8FIITCFiPIN <A> 0.75 HITCH PIN 3/8 6g1998422b97 PTTRIMCUP �p> 2.97 5 I'J Pl.ASTTC PAIMT TRThE CUP • BEIGE SUBTOTAL 13.15 SALES TAx 0.94 TOTAL �:4.�9 1!X}(KXJtXlt5210 STORE CREDIT 5.87 CtU2D BAIANCE fl.Od TA Xx}{xKxxxl(XXX3659 MASTERCAR() 6.22 AUTH COOE 055426J8019900 TA � �II��11 � ��I I�I�Ill�ll�ill��l�l!I 2810 0 8/29/2(112 11Q2 RETURN �LICY UEFINIII�JNS POLICY ID OAYS POIiCY EXPIRES ON p 1 90 11/27/2{li2 1HE HOME �POT RESERVES THE RTGHT TG :IMIT 1 OENY RETL4UVS. GLEASE SEE TF� R�IURN POLICY SI6N IN S�ORES FOR DETAILS. BUY ONLIPE PICK-UP IN STORf AVAILABLE NOH QN HQMEDEPOT.COM. G4NVENIENT, EASY AND MOST 4RDE�S REAQY IN �ESS THAN 2 HOURSt f1IfC11lt'AY2tXt1f1Y}�x=*�;it1T]tR'If1tltYlfR1• ENTER FOfi2 Ag CHANCE MdME DEPOTS�IFT CARDt Share Your ORinior� Nith l�s! Completa the bt'ief survey about yoir store vis�t artd enter for a chence to �+in at: � wv�w.hornedapot.com/opinion I COMPARTA SU UPINIC)N EN I UNA BREVE ENCUESTA PARA LA OPC7RT 1JN�DA1� DE GANAR . Usc�r ID - 6C1191 57382 Passwarci : 12429 37381 Entries rnust be entered bv �t28l24�2. Entrants must be 2$ or older to enter See complete rules vn website. No �1 P.4 H �1 fA O 1 A�]CO C � �J('CFk35B f1@C85S�'Y. i�V i Q.Y MJ ie>..f V rt V ! J 1 � � I PCN: 30014201209143003055 DCN: 30014201209143003055001 Received DatelTime: 9/14/2012 7:00:00 AM Pa e 18 of � XFINI�Y Connect Pa�e 1 af 2 XFINITY Connect �i"�'�.+j'n ��'" �� . ±�anc s�ze: Delt Qrder Nas Been Confirmed#or Uell Purchase IQ: 20Q4118875921 ,- ' From:oeu trrc.<aeq_auoomaaeA_emaa@oell.mm> Thu,Aug 16,2Di2 01:05 AM Sender:Od'{p�e»se do not rtpy)<dumrnateG_emB�Qdell.tdn> Sab}ect:De�Ord�Mas Bee�CanHmed fa DeA PurC�ase ID:20041 t887542t 1'0:varrp)�comcast.net Reply 70:Jell Cnc.<deii automatxd_emap@�dell.ce�m> �� Noene a Home Of11oe ��'� �d�r Staais prder 5u000rt Sh�at oei�.com �� Dtti Pardias�rlD:7004118875921 t.'Lt�pm4r�FpjmlStr:•1253574� NOIIO 70yG!ViRO, �..�,..''. Yc�r ade� rnaiuc rw rcx cnoos��oe+�+ �s eeing P�ocesSed T)1�L5}rour adC tarffrmaGon,oor�inlnp�i�ar�f an E�fms[ed DdNery DBDe fw wt�at Youwe adncd,21 you�ve wde+t�s�.wera!+tems.theY meY shtP separately arW at dKfertru Gates. Oncr we"vr sfiEDDed trouc ortler,we11 send Yai arwttier e-mali wlth updated��Wery rle2ail5. �''_"'`_"..��..�`""`� Or+�x Sumts�ary Oide►Mumbe� Rvdud Decvipdon E�knaOed DelhieeY OsOe Su6Ead1 163939750 ON 90-WMt 3 Prong SUm AC AdaO�er with 6.56 R PoNer DeINerS by #b5.99 . Cad fpr SNect De1�SySiems TtwrSdaY,Augusi 23,20 i 2 V�w Orc1er�tatus e[ai7s OnOet SubEotil: �65.!�M Si��pinp and Mandiing Tatal: i6.� Shipping Disoount: =i6.94 Ta�c Total: ��---�� TORi1 AItfGViM: /." f70.69�.. " �,,r` G ^'� PurCAase LnAD►tf�ation BilGny 14Adress O�Iirery A4drets � JOyCC YaoYO .lby�0!Vatrfl ' 2266?lmbee Trl E 2268 T1mWlr Trl E ! Mapiewood,MN 55 3 19-58 18 Mapiewood,MN 55219-5816 (651)983-03�](wpk) (6S1)983-0311{wplc) Pa�rinllYt►4ethOQ PaY��t C�Etltt/dCOit tbrt)onElne O�er SnDpdt �C79 °9L'D�'4' Cv�S�tf,LtL T'i a v.a.d v v .a.-^s.r.r v � .,r La.....f/...a1.......:t .............� ..o�In:..+l.....Mi....:..a.....,...n...�'7:i!—Q�C(1'9l1P.._.._._A�_.__.__��L.:.._._._D._.:._.--t OMA/')!51'1 PCN: 300142Q1209143�03055 DCN: 3D014201209143003055Q01 R�eived Date/Time: 9/14/2012 7:00:00 AM Page 16 af 20 �� i_ Pa e 1 1 www.dell.cQm ` ; Packing Slip Www.st�pport.dell.com ; � Thls is not an irnoice Sold to: VARl20 JOYCE Ship to: VARRO JtJ�'CE NoAudit lOYCE VARRO JC}YCE VARRO ANC 226R TIMBER TRL 6' 2268 TIMBER TRI. E k1APLEWOOD,MN - 55��9 MAPLEWOOL�,MN - SSl1�I-58I8 6519830311 651983(�311 l26�57456 I7ELIv Sf)FTWARG& ACCE 1b3939?50 i _ 8�`15I2Q12 8115f2012 FedEx Ground PL�ASE SEE BEL(�W _. ... . ., . , ` . .. . , ..,. .. .,, .... _ . .. ...... .... ..... . ....._ .. . ...... .. ...... .... ... .. __. � M 7Hf5 SHIPMENT: � 330-A1 i3 9QW Slim AC Adapser for Vostrc� � ""+Tht�PART I30M is for at�c�ve SKII"' 52253t9:� I (39fi88$b2�{)6f35{724 Q2087 SHP MTL.►12 MUL711-�;'I'N-CNTtVR 4�19949()43225;19� I (?96888+680ti85029 GN344 CUR�).FWR,125V.2.SA.2M.�'S.E.11S 7fXK)9499�N.kt52253193 I 04(iiiKfi(iR(K8502� 152H3 AI)F'T,AC.90W.LTnN.3P.WW,CR.M09 � ��i I 7`his campletes yuur order. � ; � .a �se�`�q st��c.n� e 6 -A i V V i-T v�f V�J PCN: 300142012091434Q3055 DGN: 30014201209143003055001 Received DateJTime: 9/14/2412 7:OO:QO AM Page 17 of 20 F 'ture - Hand Crafted Shaker and Mission Furniture Online Outlet St... Page 1 of 2 �+��n � :��. � � !n Stoclt Inveniory Q Coniact Us � 1Aaw Ordar � Checkout o � ' O�.l�AIC'-+uI •• �� Home>Enrertainmem>�F�ce.*. mene -re rs y]�Yith eod�c�ses mra sh wes Tools:�� A I A- >Hoosier Nerltaue WeR Unit>Oak Noosier Neritage Wall Unit in Oak � �� .e�-�' ��—� ``':�► r''� ew v.r�:" - -- —s+,-sea.00 ' Uvtr�q Rqom '��Y�°1 cuaw„ovHO�.: .So 00 ' -� - - - - -- �� rtn.avru�: s+.�.00 WRttf�iE00fR �s� s+�� •sL��o0 �pqm reur➢rfee: — — —�.--_..`53.62U.00�-- . . # „Y..� �� . Qry:r Add 14m ��1TOOt►1 �r� ,,.. . - < a ,� - -.�•+ SKU714i66_O �f " _ . " � QIfBfI�l1RITlp?lR "'r�� Cwtwnlu lhb item bebw.The prictng w1.7 Mkct the options ' c1w![n a V�ew l er imaoe °�'tt'�"` � • Amish Entertainment 2L9 _non�g seM�tted_ e teT 4S.S'W Center Console Y • Amish Gamer,�m Fumiture Tota!Size is 96.5'W x ZO'D x 81.25N �� 1 vnsm laoes mis.sgn up m see • mi�h5tereo/Media "�t�'°u't�wSrte, Cabinets -Ful1 Extension Dovetailed Drawers -6 Adjustable Glau Shelves -3 Staqe Touch I,ights �p}��0 -Smoked Giau -Adjustable shelf above TV � Shown with optionai hdnging yack above N � area Ipd�ROOT►1 Workapace tlphobisrad F1a�dlun ��:� Amish Outlet Store � tlke 2,343 �� SearCh by SKU q S[G �F OU SPECIALS�L //(�� ! � JT" �� t�'�'� J� ' ,�l�� Cp"!�� First Name last Name 2��/�� ✓ ErttRil Subscribe �f C*T��9 °�0��-�,! A 7}'��'ro'�`�''lr'�"' - c.vassv va—g..r..rv.i � �ttt�•//�xninar amichn��tlotetnrn n...../n�nA r�»t7rs=1ddS1 Q/'�/�/')(117 PCN: 30014201209143003055 DCN: 30014201209143003055001 Received DateITime: 9/14/2012 7:00:00 AM Pa e 1 of 20 33-°/aOEF Arnis}�Furniwre-Hand Crafted Shaker and Mission Furniture Online Outlet St... Page i of 2 . � ��"�m � �� ' � in Stock Invantory �j Cortact Us (� V1aw OrQer � Ch6ckou2 0 � �• .. r .- Home>�nr••ra;�,,,•n?>Am�tl Fattertaimnent Centers>I�(iih&2 cases gp�,�etves Toots:�g *A�A• a Cenlertnial Del�xe Wplt rrit�Qak Centenniat Style Deiuxe Wall Unit in Oak ��: -- �'�� - - - �� _ r ��r � �: �� .,.�:- -----��s.� � I.tvtr�q Koon1 c�.ao�oa�: «w o0 . .� ._ R.cau Rice. -- - ---�-� S�.lu.ao � t ��A S�virp�' -5951.00 S �� ` � rour ayee� "v_—st,vo.00 - -- s ' ! � � �7 � Add 1bm BEtf{TOOIII , i•�'y�,.�.„ ? .`r'�:G};.�;�;�; �� sxv r si�o_o -;r.� # ,�,:'^f �' Erttartatnmellt � � � . euscom,ie en,a um,oe�ow.n,e c�+�w wu�.Mkct tnc upt;on� "� cMren Qk 54tn: �� • Amish EnteRAinment q y�ew 1a19er imaae —^O��— Centers - - - ---• • Amish Gameroom 93.5"W x 19.25'D x 65'H Fumiture �e �y �prsm ulces tlia.Sqn up m see • Amish Ster�,�j�edia Hotds a 4S.5'Wide TY --- ----- wnec rar mmas uke inet '��h Drawers and Daors -Full Extension Orawer Aides -6 Adjustable Glass Shetves in Curios ��o -3 Touch Lighting in Curios _ _ -1 Adjustabie Wood sheU �� Nanging back is optional--Please ask about Ihis )dd�ROOm Warkspaea Upholstesad�ntturo �1�,� (�'—f Amish Oudet Store Ln�J �e �,3q3 Search by SKU q SEGNUP TO GE'f AN E-MAIL I OF OUR SPEC[ALS First Name Last rfame ' Email Suhscribe �'➢�8 q °'D G.0�N A 7k'r.'�'L'�••- • d.v i.6 V V 6�rf r!V..t r/ }►Nn•!laanxnv�micF�ni�tts+fctnrP rnm/naoP rfm7n=ldd(�7 R/')(i/')(11') PCN: 30014201209143003055 DCN: 30014201209143003055001 Received DateITime: 9/14/2012 7:00:00 AM Pa e 2 of 20 P1i,r�s Aeoid�TM Patio�WRh Yarc Paymerrt. ( �. � f .. �.... .�_. j I . AY 02 �3366241 6835TSS60 A•'�5D4T - ��Y'1 � � �iii��u�r�I�ii�i�I�lil�n�E.iE�,fE,�i��i�.,�1�li��tillur JAAAES J VAi�RQ ,��Inll�ll��i��u�..��a�,�n��.i��.i��lll��hiiri��nC� 726$TIMBER TRl E P.O,BOX J477 MAPIEYV(30D MN�'it19-5618 MPLS,MN 5548d-9477 31 5�10�312 54Q53539 OOODOpb266400fl00Qb2664 - - - - __. ... ._.__ --- ...... . ......... .. .. _.___ . Dirdch�d Rwsu�This Pdrtion kr Yaur Reco►ds - _ _ ��Cill 24 No�1 Da�s A Nle�t or write t��at _ _ Please Cal� 9�� farz; North�m Statas Power Compsrry `"`,q� "• �,,�°-""". `= c�. ; �"*'� � .�� *'; Hearm' gImperred: 8�i9l9 (BU4)85E►.2gg5 PO BOX 8 ��. �': Espaifol: 68l�8'n8 EAU GLAIRE VY15S102-OQOB �r ` , �' ��-� � �° � �.' �- � p��.��y.� �. � 'liap Sa�ary �KiI�Rfl1� ��' !�! � .Y �..�"�A 'd= ) � S F/lVIOUS fICE�6 Si13.82 �'`��'�.+t�.,�Y�.:,��r:.s.:�;'�,°.�,�"".',,::,5��,�'{� <_��.z.� t� Paymerrt Re ived as oE O�106 �]l,'�Q A�g@g for This tast\ BalsncsAs �� _�illill�Pe�iOd Year _ -Year . Curretrt Energy Charges Totat �1�.6i AveraQa Temnera�rre 74'- �' ,. Electric/kwh per Day ' 37.8 . 2p.B�` Cobt oar Dav ��S3.iQ�� '"32_',� Gashherms p�Oay 03 02 � ' __ C+ost oer Dav ±� =q,Sp � � -< p' G' �� i y �r�% 't °c �� n"+�`r . ..�� .<:e:.. , �v .� � �, '�� z'� � �'` �",�'s ' �� . m��. � .� n��`- 'xr4v':. .....��....�,�.�...t� .L+.o`.''.a�.E?K�...,.. . .....�.. C;.'F�'4»,a :`` �t.'��.. �w� y.+�*+. .} r#. 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Res Savers Switch AC ��1�p -- - _-.. _ ,__;__ ,----..,. ; Emir�rintt�R�tptvzafR�et l�D.�T"`'f' `. -- ��--____-----�„ .-•--- Wal Gost Ch�►ye 796 �_ S2Z.15 )C74f?'Q`� Resource Adj ----�—�-�~ a5,y Irtt�nm Rate Adj f�� f� � S�tohi t19T� � �'.�`.3 Cdy fees Sp.75 + � °� Trar�sit Impmvemerd Tms�825% �p.25 � �'a$f" State Tax 06.875% � f TotrFAip�t Sit0.�97 �''°� ,�E�-r'^' , JAME$J YARR4 hlett scneau�ed ��' "`�, ,��," ��'��k 2�65?IM66t TRL E Meter Readin Oate � <. >:� �� MAPLEWQOD.MN',lS1i�18 101�8/12 14�l�Al2 5126b4 Piease see the back af this bill fa more iMormation Sss�sck ot bili ior �# y�.r�}.g regerdirsg tt�e leie p8yrnerst charge.Pay an or before Ure �� data due to avoid assess�rseirt of a late peyment c�+arge. 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'..� �l;. . .: �, w � �'�, i�� `°� r��.`'` � � �� S r••^i�� _�� A . 1 1 �:.'�rs� Water Meter Date Taken:8/13/2012 Taken By: Brandon Minikus Water meter that had burst do to city flusing the fire hydrents I� Photo Sheet - 1 - 8/13/2012 Photo Sheet lnsured: VARRO JAMES J &JOYCE A Claim#: PP0010834742 Policy#: 55RBC792203 Water meter Date Taken:8/13/2012 � Taken By: Brandon Minikus • Water meter that had burst do to city � �t flusing the fire hydrents � : +'., +�,, *. � � �� ►� y P �''"� t�� 1 *� , � ��r � ; � f� �',a - �� Lower level/living Date Taken:8/13/2012 Taken By: Brandon Minikus Overview of the tile flooring that had been replaced less then 5 yrs ago. � Photo Sheet -2- 8/13/2012 Photo Sheet Insured: VARRO JAMES J &JOYCE A Claim#: PP0010834742 Palicy#: 55RBC792203 Lower level/living Date Taken:8/13/2012 Taken By: Brandon Minikus Overview of the tile flooring that had been replaced less then 5 yrs ago. Lower level Date Taken:8/13/2012 Taken By: Brandon Minikus Dehumidifiers placed from the city contracted mitigation company I Photo Sheet -3- S/13/2012 Photo Sheet �nsured: VARRO JAMES J &JOYCE A Claim#: PP0010834742 Policy#: 55RBC792203 � �4 . . . . , . . .. . '�;, � :�; �. . ' . � . , . . I�'� �, � � `�� ''� Lower level/living � � � � Date Taken:8/13/2012 � �. ��"�� Taken By: Brandon Minikus � �i w�s �' �w�i��,' � Tiles damaged by water that aze pealing "' ��. • � a�_ up. � ��. ��; <,, � � . . .. ... .��g +� xm-. , .. . .. .. �.. .. '�'.� ' � � : . . . . .. � . .. , � 3 . �': . y. .. � �. . . . . . . . . . . �� . .. � � � Lower level/living Date Taken:8/13/2012 Taken By: Brandon Minikus Tiles damaged by water that are pealing up. I h� °�� t �� r`_ �� ta�y„�� 3 � �� r'� a �' � _ « �,c. .., � `,� s � �t��`��x^^P�� aa `� � � ,� �,� � ,��^«" `:,' �� '��e�,¢� :j"� � �� a �3'�F' � ��§,��i `Si`3� �t ,.�, r�;`�{' r y � �, �� 3� � �� i�� ' q��°� �4F: � .;� , ., ry �, .>,' .�� ' y. ,,�'� �,.�<t.:� a�� _ e:- ...,.�,sr.,�� ';. r ; �; �v> . d � ��` � � fi� � ' . ,"z: R E m✓�c s ar3� .� �` � � �� ,_ ,� � v�= � ,.,-. , r �.�. Photo Sheet -4- S/13/2012 Photo Sheet Insured: VARRO JAMES J &JOYCE A Claim#: PP0010834742 Policy#: 55RBC792203 �� „� ,t^�A� t�,��s a � � � � � . ?A1,.„ .-��3 x; Lower level/living Date Taken:8/13/2012 Taken By: Brandon Minikus , : �, �.; Additional overviewof the lower level � dining room ��` ��. } � �� , � ��;w � � ' �Y � t 3 . � �� . `� . ` E ::. .a "�.��, n. �r��s�v �� `� ,�� Contents °�� i ; �� x � �; � Date Taken:8/13/2012 , : ��' - _�< �'' _ � Taken By: Brandon Minikus �� : � � a � �a;�; � � � �� Shelving damaged by water ' � � �� 7 ��' � €� ik 3 � � �_�� „.. R _ �`4 � $, � �3 "�. � R` � � � l.•. ^� �F. � �; k �4 4.„ µ� _ 1 � �i � ,�'`}` # ^ il ;; f ; € n r 1 i � � ` "� � - n;,� W Photo Sheet -5- 8/13/2012 Photo Sheet Insured: VARRO JAMES J &JOYCE A Claim#: PP0010834742 Poiicy#: 55RBC792203 ! ; � : ,;: Contents � �-� Date Taken:8/13/2012 � � � �� Taken By: Brandon Minikus ��, Shelving damaged by water �-��.. ;�<- � � ,�... � � '�� ,.f�;�v � �� "� ��,��. � :,- Contents � ,. Date Taken:8/13/2012 i ' Taken By: Brandon Minikus .�� ;; , ,, . � � � � � � Shelving damaged by water � � i �� `�� r �, ; ,� � s � ,�� ,� t�"�'�:s �� I �;: Y4$ Photo Sheet -6- 8/13/2012 Photo Sheet Insured: VARRO JAMES J &JOYCE A Claim#: PP0010834742 Policy#: 55RBC792203 �.., Contents �`�� Date Taken:8/13/2012 Taken By: Brandon Minikus � Rugs sarivated by water,needs dry � deaning .�� _�:�.; Contents Date Taken:8l13/2012 Taken By: Brandon Minikus Rugs saturated by water,needs dry cleaning Photo Sheet -7- 8/13/2012 Photo Sheet lnsured: VARRO JAMES J &JOYCE A Claim#: PP0010834742 Policy#: 55RBC792203 �, §A_ Lower Level/Stairs Date Taken:8/13/2012 �. . Taken By: Brandon Minikus Vinyl that had peeled up on the landing , . , �,. �.�, �� area of the stairs damaged by water m-» . � �.-�,.- � , . . ��..,� - + r.. � F. � �,,.� . . �. �: �` rY � y � s_ � �: � _� �.. , :. ., _ � .. _ ' � ,:`.: ,a `k.s . .�_ �. � � 4 �y . � . . . ... �. . �. k t � "�' ��M ��v; Lower Level/Stairs �;°_ ,;� _, � � �� ; -, ' r =� Date Taken:8/13/2012 � % � s Taken By: Brandon Minikus � ¢ ;� :: ,_,;� � Vinyl on the stairs will need to be «�" ` replaced,this style is no longer available. C� � � r k �",� `}�:i �''' �� ,� `�` ��. n ` ` � � � . � ; �9 �_` �� :: ��"� �,.;��.t.; �� J 3:._ -' . ... �v ��.. �,, .. � � . ��.,:.. $<14^> ��1,,: S# �� K�k,�' . .. ... .�'.s�. �'.. $`F ��, )�w,�,i, e . . . x��. 3 �G`. �.�`, .. � ,,.p�j -_._�,... Y¢'`.. 's.'�e§'� .. .. Photo Sheet -8- 8/13/2012 Photo Sheet Insured: VARRO JAMES J &JOYCE A Claim#: PP0010834742 Policy#: 55RBC792203 �_... Varro 025 �� Date Taken:8/13/2012 � _� ` �;,: � .. Taken By: Brandon Minikus ��,• ' �� Vinyl that was dmaged by water on the '�x " landing. �.. � �, �':µ .�`; a; �x' �s �� " ��\. a�€ ,�k� 4<$^ �+ ;�� "�'�� f ,�;, � <> � . _� �>n� � t � ,, . � Photo Sheet -9- 8/13/2012