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HomeMy WebLinkAbout08-4809MECHANIC'S LIEN CLAIM BY GENERAL CONTRACTOR IN THE COURT OF COMMON PLEAS OF CU-'n ber ~u n ~ COUNTY t/a (N a of Company-General) 1000 $ f nfe. r nab ~ onr^ J Q l~a~ . c~ncir~nQ+- ~or+ ySaNl~ (Address) V. ~nsv~yani~ Qea~ L~S~fiC. ~nues~r n~ Tr vs f X12 Q 5 ou ~-I~ ~ r,~ S+c- + Qh~~~deloh~a~ pA (glo2-3803 (Na erg and Address of Owner) The undersigned files a Mechanic's Lien as follows: NO. ~ " ~~~ I~~~~-~ Owner / Repufe Owner with Address: Qe~1 ~vC~i1u. st~~c j ~es}Me--I- 200 SgDv St~ee P ; I OFL - 3 Lien Claimant and Address: ~ k SQ nt~ ue- s ~lZ~ rer n r~#; o n '(~ I n d Phone: $fA''.S~-`) b~9 Fax: $lob-'~ H - 29 ~S Property Subject to the~e~: Name of Project: ~50~ CA ~ ~ Ci ~- r`i /e. f L ~ p ,i ~ - i ~-C. ~c~~ 1 n ~ _ g Legal Description attached. Description of labor and materials with pricing (check one): A lump sum/agreed sum contract was entered into with the above Owner on the following date , a true and accurate copy of which is attached. The contract with the Owner is not for a lump sum/agreed sum and unpaid invoices are attached, describing in detail the labor and materials. The contract with the Owner is not for a lump sum/agreed sum and below is a detailed description of labor and materials furnished, with the prices for each item: 1 of 3 ©2006 All rights reserved. (925) 899-8449. Email-info~NationalLienLaw.com. Revised 12/05 Labor/Materials Description Price 3. The principal amount due through51a5/c8 ("due date") is $ ~~ ,plus interest, after deducting just credits and offsets, and including change orders. The total price of the work pertormed was $ ~ ~h .90 ,less payments of $ 4. The date of completion of the work for which this claim is made: y ~a5 ~p$ 5. The na a and addr©s of~the person or compan~y^~u1bcontractor has a contract or order with is: h Dated: g ~~ ~ ~$ ~ ~~ ~ ~ 5 Irv ~ c~.-S (Name of CI i ant/Co. Furnishing Labor and Material) Name & Title: ~,FF 5f , wt - ~o-.T~o~~K Q~ -~ (Signature) 2 of 3 ®2006 All rights reserved. (925) 899-8449. Email-info(~NationalLienLaw.com. Revised 12!05 AFFIDAVIT OF SERVICE OF NOTICE (MECHANIC'S LIEN CLAIM BY GENERAL CONTRACTOR) IN THE COURT OF COMMON PLEAS OF~,~be~-,c~n~ COUNTY n ena-- c. k I C.( s e ~f-r' n `Qlvd C ir~c..~' a~,f-~' ~-1'~j (Name and Address of General) V. PCnIIS~II~ar\i~, ~6r,~ U~~lMes'~xa,n~-Tr~s~ 200 S o +h road S t-r`eQ.~ .P-,~ (~. nh~a. , ~lq I~tr3 (Name and Address of Owner) NO. AFFIDAVIT OF SERVICE OF NOTICE COMMONWEALTH OF A OI}-tD COUNTY OF - ,, ~~°, 4_ t ~~TtE7z- SS ~+.f r S'~ rat. ,being duly sworn according to a law, deposes and says as follows: 1. I am an adult and am (title) Co~~~~~1/ of Lien Claimant in the above-captioned proceedings, and submit this Affidavit pursuant to 49 P.S. §1502(a)(2). 2. Attached hereto is a Proof of Service indicating service was made by certified mail as to a notice of the filing of the Mechanic's Lien Claim filed herein, bearing the court term and number and date of filing of the said claim. (Signa ur ) J~fF S-~;,~~ (Printed Name) Sworn to and subscribed before me on this date: ~'"~ \~ ..~ Notary Public 0 .~ OF ~~\ 3of3 CAROL J. Al~IOCK My~Con~is>tion~~~ tt ©2006 All rights reserved. (925) 899-8449. Email-info~NationalLienLaw.com. Revised 12/05 ~ .ti~~ Hint ~s; :~scs2 aildu'+~ e , ~ nC t~~~~,x3 eita~mma~ v4A ~, *"`HISTORICAL*** Invoice 54525 Contingent Network Services, LLC Date 4/25/2008 10008 International Blvd Page 1 Cincinnati OH 45246 Bill To: Ship To: Abercrombie & Fitch - 24353 Abercrombie & Fitch - 24353 PO Box 183122 HOL-484 Columbus OH 43218-3122 3506 Capital City Mall Drive Lower Allen PA 17011 Purcfiase Order No. Customer ID Sales rson ID Shi fn Method Pa meet Tsrms RA Shi Date Master No. 11461 ABERCROMBIE 04 NET 30 4!25/2008 45,595 OrdarQd t31t7_ ~m n Dtscour-f tt it Price Ext. PHCe 2.00 0.00 1.00 2.00 0.00 1.00 0.00 .00 0.00 700100067 00002006 800100001 Field Technician Level 2-C4 Dispatch/042308/1627/HOL-484 Aaron Roberts Repair Cabinet OnlOff Site: 04/25/08 08:30 - 04/25/08 09:3 TAC Support-ANF NPPS Travel - A&F NetMedX Fixed Travel $0.00 0.00 $0.00 $94.00 2.49 $35.00 $188.00 24.90 $35.00 'Sub total $247.90 NetMedx Web Site MiC 0.00 Tax $0.00 Frel ht $0.00 Trade DiQapt~lit $0.00 TCrtal 247.90 N Q' ~ N ~ `CJ C:Ci C ~ ~~ ~f.r; ~, ~ ~ .~;. ~ ~~~'- - a ~_ ~> ~ ~ _~; '~ ~ ~ `-- ~'`- _` -~ .~ ~,~, ..~