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Home My WebLink About04-4917NOTICE REQUESTED BY Rental Service Corporation/NC PO Box 36217 Charlotte, NC 28236.6217 RE: APN # 10-22-0531-001. When Recorded Please Return To: Accurate Lien & Contractor Assistance 6210 East Thomas Road, Suite 203 Scoi~sdale, AZ 85251-7044 OC~LAIU OF LIEN (MECHANICS) ~ ~4~4~ ~c'~t~ The undersigned claimant, Rental Service Corporation/NC, hereby claims a mechanic's, laboror'e or malerialman's rien as a Subcontractor as follows: The name of the owner(s), or reputed owner(s), is Stoner, Max and Gillespie, Michael dba Laurel Office Associates, 3705 Trindle Road, Camp Hilt PA,17011. The time of the commencement of performance of labor or the furnishing of materials was 06/21/2004. The time of the cessation of performance of labor or the furnishing of materials was 08/27/2004. The date the debt became due is 08/27/2004. If filed by a subcontractor, the name of the person to whom claimant provided services to was Bdckhill Construction Inc, P~B~x132~Mif~int~wnPA~17~59~andthedate~nwhichpre~~minaryn~tice~ifrequired~wasgiven~n: / / ,andthe dateoftermalnoticeofintenfiontofileaclaimwasgivenon: / / . A general statement of the kind of work done or materials furnished is: Construction Equipment Rental- See Exhibit C. The odginal centrect amount due was for $5,158.81. The amount due actually performed or delivered was $5,158.81. The amount for which the lien is claimed is $5,158.81, 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 3705 Tdndle Road project, located at 3705 Tdndle Road, Camp Hill PA,17011, Assessors or Property Parcel Number: 10-22-0531-001., 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 09/27/2004 for Rental Service Corporation/NC, PO Box36217, Charlotte, NC 28236-6217 By: .,'~J~ Phone:(704) 529-6563 Fax:(704) 529-6511 Sar~ Somar, ~l~tice 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, NC on 09/27/2004 for RENTAL SERVICE CORPORATION/NC. Saral~omar, NpJt'ce Preparer Property Description: Exhibit A Labor or Materials Information: Exhibit C NOTICE REQUESTED BY AND RETURN TO: Rental Service Corporation/NC PO Box 36217 Charlotte, NC 28236.62t7 RE: APN # 10-22.0531-001, NOTICE OF FILING OF CLAIM (49 PA. Cons. Stat. Sec. 15~2(a)(2)) TO OWNER TO GENERAL CONTRACTOR Stoner, Max and Gillespie, Michael 3705 Tdndle Road Camp Hill, PA 17011 FROM Rental Service Corporation/NC PO Box 36217 Charlotte, NC 28236-6217 TO MORTGAGEE PO Box 132 Miffiintown, PA 17059 REGARDING: FOR PROJECT OR WORK LOCATION 3705 Tdndle Road 3705 Trlndle Road Camp Hill, PA 17011 Rental Service Corporation/NC has recorded the attached Claim of Lien. Dated 09/27/2004 for Rental Service Corporation/NC, PO Box 36217, Charlotte, NC 28236-6217 By: .~(4 QJ~ .~ Phone:(704) 529-6563 Fax:(704) 529-6511 Sa~.~ Somar, ~)tice Preparer VERIFICATION I declare that I am authorized to file this NOTICE OF FILING LIEN 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, North Carolina on 09/27/2004 for RENTAL SERVICE CORPORATION/NC. Sara~omar, ~ Preparer Property Description: Exhibit A Labor or Materials Information: Exhibit C Exhibit A - Property Description Owner:Stoner, Max and Gillespie, Michael dba Laurel Office Associates Preject:3705 Trindle Road 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: 10-22-0531-001 0034N-00542 1,3'1 acres Exhibit C - Complete Description of Materials or Labor Supplied Owner:Stoner, Max and Gillespie, Michael dba Laurel Office Associates Project:3705 Trindle Road 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 Rental Equipment and Sales ACKNOWLEDGEMENT BY NOTARY PUBLIC STATE OF AZ ] ss. County of Maricopa ] ss. /~7/~00.,4 b~ore l~e~j~e und~,~ignj~d, a Notary Public in and for said state, personally appeared /,)~l /~._. ~'),(./t".]~./'[ , [ 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/heal their authorized capacity(ies), and that by his/her~heir signature(s) on the instrume~.~,~~ mon(s), or their entity upon behalf for which the person(s) acted, executed the instrument. Signature ~,~..~,_~_~,.~,,~ ~ :~ ,,~. .~./'~, Amy I- Billcs .~ Amy L Silics ~. \ CAPACITY CLAIMED I~Y 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: 09/27/2004 Number of Pages: Signer(s) Other Than Named Above: · 3AN-08-2002 06:16 RJ~LI'I'AD S~'.RVICE C~3RPORATZON 6778 ~INCO~N HWY WEST ~O~S~LLE, PA 17364 717-225-5677 Paffe: BILL TO 529184 ADDRESS BRIC~ILL CON~ INC ~ 0 BOX 132 ~IFFLI~OWN, PA 17059-0132 ~OSNUUS~ _ G~Z~ ASSOC. - 0 SITE J~ 2 4 0 3 712-436-9164 712-436-9164 RSC CHARLOTTE CREDIT CTR SCore: l~b Rental Service Corporation A Company withlh the Atlas Coleco Group EXCHANGE EQUIPM~VE Inv dr: ?/07/04 ?04927945EI P. ¢4 SAT CLOSED SUN CLOSED ~mer~ency Phone 000-000-0000 Otv L~nit # Description - RENTAL AND SALES AGREEMENT ''c°"*~cr20791940-002 * COPY *' OAT[ 6/21/04 6:53 AM BAT; 7/07/04 5:34 PM R~MIT TO: DON P~,CK Min DaY P 0 BOX 840514 DALES, TX 95284 1 276958 BACF~qOE-4WD 12-15' 208.80 220.50 585,00 Make: C3~E Model: 580L Set #: JJG0245665 F~R OUT: 273~.70 ~R IN: 2749.90 TOTAL: 18.20 Reason: WRONG EQUIPMF4¢T FOR THE JOB 1 495357 EACK~OE-4WD 18' ~XT/CAB 208.80 220.50 585.00 F~nke: DEERE Model; 310~-D/L Set #: T0310C~X930436 HR OUT; 266.80 1395.00 1395.00 NEW ITeM 3210 I ACKNOWLEDGE RECEIPT OF T~ "CUSTOMER SAFETY BULLETIN" FOR THIS EQUIPMENT ~ UNDERSTAND THAT A REVIEW OF THE BULLETIN IS NECESSARY FOR THE SAFE OPERATION OF THIS EQUIPME~TT. INIT/AL .......... Env Fee Rates Dy/Wk/Mo: 2.00/4.00/8.00 SALES IT~M~: Qty Item number Description Unit Price 19.7 DSL DIESED FUEL ~a 3.250 64.03 Sub-total: 64.03 Tax: 3.84 Total: 67.87 · JAN-OB-200~ 06:17 6778 ~INCOL~ ~ W~ST ~O~VILLE, PA 17364 717-225-5677 Pa~e: 1 ' CUSTOMER NUMS~R BILL TO 52918~ ADDRESS ~R~C~I~ CONSTR INC ACCO~S PAY~LE P 0 BOX 132 ~!FFLI~0~, PA 17059-0132 JOB SITE C~CT,~ BI~;L 2401 712-436-9164 312-436-9164 RSC CHARLOTTE CREDIT CTR Rental Sen/ice Corporation A Compan~ w/thin the At/as CoPco Group 4 WEEK BISL Inv dr: ?/12/04 _DON PECK Otv Unit # DescriDtion Day ?0492?9458 P. 05 SAT CLOSED SUN CLOSED ~mergency Phone 000-000-0000 RENTAL AND SALES AGREEMENT ''C~ACT 20791940-003 * COPY o~ 6/21/04 6:53 AM OUT =^r; 7/19/04 REMIT TO: P 0 BOX 840514 DA~LLAS , TX 75284 ~ ~?'~?::!::: !~i .: ::: ~:::: ~":: :::'::: Week; 4 Week AMOUNT I 495357 BACKHOE-4WD 18' F~XT/CAB 208.80 220.50 585.00 1395.00 1395.00 Make; DEERE Model: 310G-D/L Ser ~: T0310GX930436 ~R OUT: 266.80 HR IN: TOTAL: 266.80 3210 ~ ACKNOWL~DG~ RECEIPT OF THE "CUSTOMER SAFE~ BULLETIN" FOR THIS EQUIPMENT AND UNDERSTAND THAT A REVIEW OF T){E BULLETIN IS NECESSARY FOR THE SAFE OPERATION OF THIS EQUIPMENT. INITIAL .......... Bnv Fee Rates Dy/Wk/Mo: 2.00/4.00/8.00 ~ALES ITEMS: Qty Item number Description Unit Price 1 F~RF ENVIR0~ENTAL RECOVERY FEE EA B.000 8.00 DELIVERY CHARGE 45.00 ~QUIPM~NT STILL OUT - RENTAL CONTINUES. BILLED FOR FOUR WEEKS 6/21/04 THRU 7/19/04 Sub-total: 1448.00 EZ Assurance: 195.30 Tax: 98.60 Total: 1741.90 06:5~ AM . JAN-08-2002 06:17 ~N'I'A~. SERVICE CORPORATION 6778 r.INCOI~N R-WY WEST THOMAS~-/LLE, PA 17364 717-225-5677 Page: 1 "CUSTOMER NUMBER BiLL 'TO 5293.84 ADDRESS BRICKHILL CONSTR INC ACCOUNTS PAYABLE P 0 BOX 132 ,MIFFLINTOWN, PA 17059-0132 ~ ;JOB NUMS~ _ GLAZE ASSOC. - O %3705 TRINDLE RD, CAMP HIT,L CYCLE BILL 2A01 712-436-9164 712-436-9164 RSC CHARLOTTE CREDIT CTR Store: 196 Rental Service Coqmratio. 4 WEEK BILL Inv dt: 8/09/04 DON PECK Oty Unit # Description Min Dav ?0492?9458 P. 06 MON- FRI 7:00a-5: 00p SAT CLOSED SUN CLOSED ~ergency Phone #: 000-000-0000 8ENTAL AND SALES AGREEMENT ' ~CO"~ACT20791940--004 * COPY *' OAT~ 7/19/04 OUT ~A~',~ 8/16/04 REMIT TO: P O BOX 840514 DALLAS, TX 75284 Week 4 Week ,~MOUNT i %95357 BACKHOE-4WD 18' EXT/CAB 208.80 220.50 585.00 1395.00 1395.00 Make: DHERE Model: 310G-D/L Set #: T0310GX930436 HR OUT: 266.80 HR IN: TOTAL: 266.80 3210 I ACKNOWLEDGE RECEIPT OF THE "CUSTOMER SAFETY BULLETIN" TOR THIS EQUIPMENT A/TD UNDERSTAND THAT A REVIEW OF THE BULLETIN IS NECESSARY FOR THE SAFE OPERATION OF THIS EQuIPM~V~. INITIAL .......... Env Fee R~tes Dy/Wk/Mo: 2.00/4.00/8.00 SALES ITEMS: Qty Item number Description Unit Price I ERF ENVIRONMENTAL RECOVERY FEE RA 8.000 DELIVERY CHARGE 8.00 EQUIPMENT STILL OUT - RENTAL CONTINUES. BILLED FOR FOUN W~EKS 7/19/04 THRU 8/16/04 sub-total: 1403.00 Ez A~sura~ce: 195.30 Tax: 95.90 Total: 1694.20 06:53 AM ~ 3AN-08-2002 06:17 RENTAL. SERVICE CORPORATION 6778 LINCOLN HWY WEST THOMAS~VILLE, PA 17564 717-225-5677 Page: 1 BILL TO 529184 ADORESSBRICK~ILL CONSTR ACCO~S PAY~LE P O BOX 132 MIFFLINTO~, PA 17059-0132 JOB SiTE{J0s~Uus~- G~ZE ASSOC. - O ~705 TRI~L~ ~, ~P ~ILL _2401 712-436-9164 71~-436-9164 RSC CHARLOTTE CREDIT CTR Store: 196 Rentsl Service Corporation A Company v~th~b the Atlas COocO Group RENTAL RETURN Inv dt: 8/27/04 ?049279458 P.O? SAT CLOSED SUN CLOSED Emergency Phone #: 000-000~0000 RENTAL AND SALES AGREEMENT · 'c~¢~ 20791940-00~ * COPY * o~ 7/19/04 6:53 AM ~ 8/27/04 8:25 A~4 RI~MIT TO: DON P~CK P 0 BOX 8~0514 DALLAS, TX 75284 Ot¥ Unit # Description . Min I 495357 BACK~OE-4WD 18' ~XT/CAB 208.80 220,50 Make: DEERE Model: 310G-D/L Set #: T0310~X930436 HR OUT: 266.80 ~R IN: 296.70 ~T~: 29.90 ~nv Fee ~tes Dy/~/Mo: 2.00/4.00/8.00 Meter from prior exchange is 30.800 5~BS IT.S: Qty Item n~er Description Unit 1 ~F ~R0~A5 RE~Y ~E 33.7 DSL DIeSeL F~L DELI~RY C~GE PICKU~ C~G~ ~,]'~'~%. ~: ~: ~: :;:~:<+ ~ :~ ?3 :?:. Week 4 week AMOUNT 1395.00 1170.00 ~rice 8.000 8.00 4.950 166.82 45.00 FINAL BILL: Sub-total: 1389.82 ~Z AsSura_n~e: 163.80 Tax: 93.22 Total: 1646.84 08~25 AH. TOTAL