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Home My WebLink About04-3021Q NOTICE REQUESTED BY Rental Service Corporation/NC PO Box 36217 Charlotte, NC 28236.6217 RE: APN # 03220487009 When Recorded Please Return To: Accurate Lien & Contractor Assistance 6210 East Thomas Road, Suite 203 Scottsdale, AZ 85251-7044 A-ncf_ ?Odl MLb CLAIM OF LIEN (MECHANICS) K'e,f\Ao'\ c .Jemce_ Ccc goroc}ca1 VS, Lo \,.?S C, The undersigned claimant, Rental Service Corporation/NC, hereby claims a mechanic's, laborer's or materialman's lien as a Subcontractor as follows: The name of the owner(s), or reputed owner(s), is Lowes Home Centers Inc. Attn: Tax Dept., PO Box 1111 (Highway 268 East), North Wilkesboro NC,28656. The time of the commencement of performance of labor or the furnishing of materials was 1211712003. The time of the cessation of performance of labor or the furnishing of materials was 02/0212004. The date the debt became due is 02/0212004. If fled by a subcontractor, the name of the person to whom claimant provided services to was Milburn Brothers Installation, 19 East Evergreen Road, Lebanon PA,17042, and the date on which preliminary notice, if required, was given on: 12/29/2003, and the date of formal notice of intention to file a claim was given on: I I . A general statement of the kind of work done or materials furnished is: Construction Equipment Rental- See Exhibit C. The original contract amount due was for $2,508.95. The amount due actually performed or delivered was $2,508.95. The amount for which the lien is claimed is $2,508.95, including service charges or interest at the rate of 0.000% per annum. A general description of the improvement to the property is:. The project is commonly known as the Lowe's/650 project, located at 650 East High Street, Carlisle PA, Assessors or Property Parcel Number: 03220487009, in the County of Cumberland. The property is more particularly described as set forth within Exhibit A, if attached. Specific contract information, if any, is attached. Dated 05/17/2004 for Rental Service Corporation/NC, PO Box 36217, Charlotte, NC 28236-6217 By q? J4.1 Phone:(704) 529-6563 Fax:(704) 529-6511 Sarah omar, o' a Preparer VERIFICATION I declare that I am authorized to file this CLAIM OF LIEN (MECHANICS) on behalf of the claimant. I have read the foregoing document and know the contents thereof; the same is true of my own knowledge. I declare under penalty of perjury that the foregoing is true and correct. Executed at Charlotte, INC on 05/1712004 for RENTAL SERVICE CORPORATION/NC. BY: Sara omar, Noti a reparer Phone:(704) 529-6563 Fax:(704) 529-6511 Property Description: Exhibit A Labor or Materials Information: Exhibit C Exhibit A - Property Description Owner:Lowes Home Centers Inc. Attn: Tax Dept. Project:Lowe's1650 The following is a complete legal description, to the best of our knowledge of the property to be liened. Information for this exhibit was obtained through the Recorder's Office where the property is located, or from other sources. Parcel ID #03220487009 Lot 2 Plan Book 87 Page 60 10.33 Acres Exhibit C - Complete Description of Materials or Labor Supplied Owner:Lowes Home Centers Inc. Attn: Tax Dept, Project:Lowe's/650 The following is a complete list, to the best of our knowledge of all Materials or Labor, which by agreement, were supplied or will be supplied by: Rental Service Corporation/NC Construction Equipment Rental and Sales ACKNOWLEDGEMENT BY NOTARY PUBLIC STATE OF AZ ] SS. County of Maricopa ] ss. ???Yun a gned, a Notary Public in and for said state, personally appeared ? , [ X ] Personally known to me Proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the attached instrument and acknowledged to me that he/she/they executed the same in his/her/ their authorized capacity(ies), and that by his/her/their signature(s) on the instrume9Yf;he person(s), or their enj4"pon behalf for which the person(s) acted, executed the instrument. Am L. Bilks Signature NoM: Poopaubll rizona \ J N? (;C.n i nm iss isc n in 110 006 swu m, o,. n. Amy Bilics CAPACITY CLAIMED BY SIGNER Individual Subscribing Witness Corporate Officer(s) Partner(s) Guardian Attorney-In-Fact Trustee(s) Other Titles Attention Notary: Although the information requested below is OPTIONAL, it could prevent fraudulent attachment of this certificate to unauthorized documents. Title or Type of Document: Date of Document: 05/17/2004 Number of Pages: Signer(s) Other Than Named Above: SEP-05-2001 05:02 RSC CHARLOTTE CREDIT :=TR RENTAL SERVICE CORPORATION Store: 195 6778 LINCOLN HWY WEST aRIME !f ^' (PRIME THOMASVILLE, PA 17364 houstrid, IX Utlw Y J 717-zzs-s677 Rental Service Corporation A Company Within the Atlas Copco Group Page: 1 rantalserviDP.com rCUSTOMER NUMBER BILL TO 508823 4 WEEK BILL ADDRESS Inv dt: 1/07/04 MILBURN BROTHERS INSTALLATION ACCOUNTS PAYABLE 19 EAST EVERGREEN RD LEBANON, PA 1.7042 JOB / JOB NUMB SITEI - LOWES - LOWES - lHWY 74 & TRINDLE RD, CARLISLE P O BOX 840514 DALLAS, TX 75284 T WRITTEN BY PURCHASE ORDER NUMBER ORDER BY I AGENT SALES REP ` CYCLE BILL DEWAYNE PHTLIP$ .7R, WILTI?AM Jj logR ONE CUSTOMER PHONE DI LICENSE NUMBER TIATE'AND TIMEW4'UV 717-273-0721 717-273-0721 1'2/19/0.3 12;00 PM Oty Unit # Description Min DaY Week 4 Week AMOUNT 1 309435 IND FORKLIFT-5000 LB 150.00 150.00 455.00 981.00 981.00 Make: DAEWOO Model: G25S Ser #: CW-00294 HR OUT: 1547.20 HR IN: TOTAL: 1547.20 1200 I ACKNOWLEDGE RECEIPT OF THE "CUSTOMER SAFETY BULLETIN" FOR THIS EQUIPMENT AND UNDERSTAND THAT A REVIEW OF THE BULLETIN IS NECESSARY FOR THE SAFE OPERATION OF THIS EQUIPMENT. INITIAL ................ DAMAGE WAIVER DOES NOT APPLY TO UPSET/MAST DAMAGE. INITIAL ................ Env Fee RateS Dy/Wk/Mo: 2.00/4.00/8.00 SALES ITEMS: Qty Item number Description Unit Price 1 ERF ENVIRONMENTAL RECOVERY FEE EA 8.000 8.00 DELIVERY CHARGE 50.00 EQUIPMENT STILL OUT - RENTAL CONTINUES. Sub-total: 1039.00 EZ ASSUranCe: 137.34 TAX: 70.58 Total: 1.246.92 BILLED FOR FOUR WEEKS 12/17/03 TBRU 1/14/04 12:00 PM 1999 PII WRM? R?fp,wG 7049279458 P.03 MON-FIR"/:UUa-5:uup SAT CLOSED SUN CLOSED Emergency Phone #: 1 717 225-5677 RENTAL AND SALES AGREEMENT . RCN 01RACP 18790270-002 * COPY t? DATE 12/17/03 12:00 PM OUT DATE 1/14/04 REMIT TO: CUSTOMER ACKNOWLEDGES RECEIPT OF SAFETY DOCUMENTS AND UNDERSTANDS ALL APPLICABLE SAFETY AND OPERATING INSTRUCTIONS, ' SEP-05-2001 05:03 RIIC CHHFILi ITTE TRENT T CTF' 7049279458 P.04 R.UN'YAL SERVICE CORPORATION Store: 196 MON-FRI 7:00a-5:00p 6778 LINCOLN HWY WEST PRIME GRIME E I i SAT CLOSED THOMASVILLE, PA 17364 nergy ndus rlal SUN CLOSED Rental Service Corporation Emergency Phone # 717-225-5677 Acompany within thaAtlasCry>rnGmIjp 1 717 225-5677 Page: 1 rontslsorvlce.com RENTAL AND SALES AGREEMENT CUSTOMER NUMBER ' . CONTRACT 18790270-003 * COPY 508823 BILL TO RENTAL RETURN NvolcE+ Inv dt 2/04/04 DnTE 12/17/03 12:00 PM ADDRESS : OUT MILBURN BROTHERS INSTALLATION ACCOUNTS PAYABLE 19 EAST EVERGREEN RD LEBANON, PA 17042 JOB JOB SITE NUMB V - LOWES - LOWES - 74 & TRINT7LE RD, CARLISLE WRITTEN BY JANETP JOB PHONE 717-273-0721 PURCHASE ORDER NUMBER CUSTOMER PHONE 717-273-0721 ORDER V iAGEN1' DEWAYNE r,FIyEFS LICEWE NVM:EF Oty Unit # Description Min Day 1 309435 IND FORKLIFT-5000 LB 150.00 150.00 Make: DAEWOO Model: G25S Ser #: CW-00294 HR OUT: 1547.20 HR IN: 1625.30 TOTAL: Env Fee Rates Dy/Wk/Mo: 2.00/4.00/8.00 Meter from prior exchange is 2.000 SALES ITEMS: Qty Item number Description 15 LPG LIQUID PROPANE GAS 1 ERF ENVIRONMENTAL RECOVERY FEE DELIVERY CHARGE PICKUP CHARGE °A*E 2/02/04 10:38 AM IN REMIT TO: P O BOX 840514 DALLAS, TX 75284 SALES REP DEFAVLT hgjT.R9 R>•P (U1T(c A?1dNIM{.p4F IN " 12/]9f(l3 12.;00 'PM' Week 4 Week AMOUNT - 455.00 981.00 981.00 78.10 Unit Price EA .950 14.25 EA 8.000 8.00 50.00 Sub-total: EZ Assurance: Tax: Total: FINAL BILL: 1/14/04 12:00 PM THRU 2/02/04 10:38 AM. 1053.25 137.34 71.44 1262.03 CUSTOMER SIGNATURE OATS NAME PAINT50 OEUYERRG eY MTE CUSTOMER ACKNOWLEDGES RECEIPT OF SAFETY DOCUMENTS AND UNOERSTANDS ALL APPLICABLE SAFETY AND OPERATING INSTRUCTIONS. TOTAL P.04 W-M ?.. ic.. ? - ?? ? _ 1 ? ?. ? -F -? ., < , 1 ?> ?? Ne-A)-- 5--? ---- vs. 4 W__ &4tW___1 -a ------------ ------------ 61 WI-0- ------------ - ?_T ------ A ---- 11-b j N-wjj a In the Court of Common Pleas of Cumberland County, Pennsylvania Judgment in favor of Plaintiff on ---------------------- -------------------------------- for - o. P+- v '! ------------- Term, 19------ Entered ---------------------------------- 19------ ----? ?I<C_1i31??1?C-4-------------------------------------------------- Plaintiff in the abov; Judgment, do appear and acknowledge that this (lay have had and eccived and from ? ?.L1lY! !_!- - ---- kJ?4st La - - / t(a!.?-? - - --------- - -- the def--ndant in the above Jud,-:nent, full payment and saisfaction of the sar.ie, with interest and costs, and desired that satisfaction therefore shall be entered upon the records thereof. CURTIS R. LONG And further, do hereby authorize and empower __--_-___ny_?_1_l ___________________________ ____________________ theProthonotary of said Court, to appear _.11_ _ _ _ _ ------------------- and in A\ name and stead to enter full satisfaction upon the record of said judgment, as fully and effectually, to all intents and purposr,?ass ??ecdd were personally present in person to do so. And for so doing this shall be your sufficient -warrant of authority. ? I ?W In test' ny whereof, have hereunto set our hands and seals this _ _ ----------------- day of ----- Lcv-i-=J --------------------------------, A - r - --- - - ??I(!C ?1/ t---?-'? _- l'--?' J?J?-?_C_?`_'_1 _`_"_'"?5ea1, --------------- (Seal) --------------- (Seal) ie ed before?me, e subscriber, _/ -- - -- ?"- --- - ^?'- "------ Tn 1/1/I An //W/\ ?./i ?,/n --------,--------------------------------------------------------------------- ?rti_?IL ------------------------------------------------- the Plaintiff in the above Judgment, and in due form of law acknowledged the within and foregoing Power of Attorney to satisfy the judg- ment set forth, to be act and deed, and desired that the sanic shall be filed of record in the office of the Prothon- otary of the Court of Common Pleas of said County. I G In testimony whereof, I have hereunto set my hand and seal this __J__J __--_-(,INDSAy-G -- - a tNdE Notary Public - Arizona day of ------ -- ---------------------------- A. D. ? ----• ?'?k??aa?,? MAR1COPA COUNTY A gat nlay Commission Expires State of Pennsylvania County of Cumberland, G = ? ?1 G < ?Z_- ? 1 I , 1 1 1 1 1 li 4 1 1 r 1 , 1 11 11 6-+ ? b "'71