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HomeMy WebLinkAbout12-25071 CUMSERL AND C ; 'Y PENNSYLVAij'A MECHANIC'S LIEN CLAIM BY SUBCONTRACTOR SQ pal cf.J.'i'd C/sh /z -j-701 IN THE COURT OF COMMON PLEAS OF C%-4,hXjI-e 1,,J COUNTY JUDICIAL DISTRICT R 6 C_ C-- r7 r i Se S C- Z C-- Cr w? 1(,,d r-f(J f.49-17 yOy (Name of Sub or Supplier) Plaintiff i r'4-%jc.,( en t--+c--s, t c c rho / o.-? a S Qr.' y .c, JW e 7?jo`1 (Name(s) of Owne ) Defendant's (s) The undersigned files a Mechanic's Lien as follows: NO , a-5-v- ?1 ?--D Owner/ Reputed Owner with Address: ?S"[3z L ort4S ?r? Vt, Property Subject to the Lien: 15-01 , K Cdr 0 Legal Description attached. Lien Claimant and Address: KsS? C F. Ses, 1 orb--P? / -7 Y C Y PhonW7;4 Fax: !7 la ????3 Name of Project: F y ; h q 4 6 Description of labor and materials with pricing (check one): A lump sum/agreed sum contract was entered into with the General on the following date 1 of 2 ,L ©2011. National Lienlaw. All rights reserved. (925) 899-8449. Email--info@NationalLienLaw.com. Revised 10/11 The contract with General is not for a lump sum/agreed sum and unpaid invoices are attached, describing in detail the labor and materials. -f ; 4-- h1.-+Cr I& If / cj?,,-, 3 e- OraP- r S ?_The contract with General isC4kfor a lump sum/agreed sum and below is a detailed description of labor and materials furnished, with the prices for each item: Labor/Materials Description Cor +r-L cam' ?r ct - Ver 64 1 U LrL? ? e. F -r Qn K r•c e- ???-? J- eve. i?- a k -4- a-_4 'i Let -r ,5? G IL Price plus interest, after 3. The principal amount due through(j("due date") is $ -d-0SU deducting just credits and offsets, and including change orders. Thd total price of the work performed was $ S7 ? less payments of $ 13-2, Via A' 4. The date of completion of the work for which this claim is made: 5. The name and address of the person or company contractor has a contract or order with -e ,.?; + ID is: -Sort eS _?- Fro nK 13 3a Sa-. M,:L,V,` .51-re- c41 R4 ?e, 5,? , N C. a--74? 65 Dated: o/ K?4 TS i s C l14c_neri i --S L L L (Name of Claimant/Co. Furnishing Libor and Material) e,-rV,W- /tvS Yor k _ PR ! 7V6T Name & Title'- ke v + m P, (Sign ure) 2 of 2 ©2011. National Lienlaw. All rights reserved. (925) 899-8449. Email--info@NationalLienLaw.com. Revised 10/11 Klassic Enterprises, LLC 3073 Bitternut Blvd York, PA 17404 Phone: 717-650-6185 Bill To Jones & Frank 1300 Ingleside Rd. Norfolk, VA 23502 Invoice Date Invoice # 9/30/2011 649 P.O. No. Terms Project Net 30 Flying J 708 - Carlisle Quantity Description Rate Amount Flying J 708 1501 Harrisburg Pike Carlisle, PA 17013 31,800.00 31,800.00 Installation of Def Tank Progress Billing - 100% complete Contract Price: $91,800.00 Less Previously Invoiced: 60,000.00 Total due this invoice: $31,800.00 Pa-,- T; r, l ?q?lyn?tiT %? c? C, 3 1` Sc bo . c, d C r I 4- `V) Gr?t !? /Q f !©O. c 4- D LL e C I C } 1 56`? - . Thank you for your business. Total $31,800.00 1 r Klassic Enterprises, LLC 3073 Bittemut Blvd York, PA 17404 Phone: 717-650-6185 Bill To Jones & Frank 1300 Ingleside Rd. Norfolk, VA 23502 Invoice Date Invoice # 8/26/2011 643 P.O. No. Terms Project Net 30 Rock Change Order Qi iantity Description Rate Amount Flying J 708 1501 Harrisburg Pike Carlisle, PA 17013 49,133.18 49,133.18 Rock and Electrical Change Order to date - See attached backup qCt yrn.-en4 n4,j t T4J C lr rd '? M cen o Par 4-'lc I CC XM an-F /3c? let, n d 0 LL.-e- Thank ?ou for your business. Y91 1,33. is <'3 ohs 7 /big a, Total $49,133.18 y Job: Quantity 13.00 Hrs 5.75 hrs 13.00 5.50 12.75 11.75 12.75 14.00 8.50 13.50 13.50 14.50 16.50 13.50 3.50 8.50 6.00 15.00 6.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 Klassic Enterprises, LLC Time and Material Breakdown 4/24/2012 Pilot 708 Carlisle PA Change Order - rock removal & Electrical to date Description Rate Amount Labor 3 men 7/27 165.00 2,145.00 1 man 7/27 55.00 316.25 3 men 7/29 110.00 1,430.00 1 man 7/29 55.00 302.50 1 man 7/30 55.00 701.25 2 men 7//30 110.00 1,292.50 1 man supervisor 7130 75.00 956.25 1 man 8/1 55.00 770.00 1 man 8/1 55.00 467.50 1 man 8/2 55.00 742.50 1 man supervisor 8/2 75.00 1,012.50 1 man 8/3 55.00 797.50 1 man 8/4 55.00 907.50 1 man 814 55.00 742.50 2 men 815 110.00 385.00 1 man 8/6 55.00 467.50 3 men 8/8 165.00 990.00 3 men 8/26 165.00 2,475.00 1 man 8/26 supervisor 75.00 450.00 Total Labor Materials, Equipment Rental, Hotels Petro 1,111.54 1,111.54 Gary L Templin 2,400.00 2,400.00 Gary L Templin 13,522.48 13,522.48 Gary L Templin 3,325.00 3,325.00 United Rentals 963.69 963.69 ALS Envirnomental soil samples 480.00 480.00 Lowes 68.78 68.78 Industrial Piping 543.41 543.41 Water repot - vacuum truck 437.50 437.50 1 b water service - water line repair 364.36 364.36 United Rentals 2,622.35 2,622.35 Industrial Piping - nipples & unions 444.14 444.14 crompco - repair line in excavation 400.00 400.00 capital - pvc conduit 432.11 432.11 capital - elbs, couplings, wlreway, sqds 239.39 239.39 fuel for equipment and travel 770.85 770.85 Total before m/u 28,125.60 m/u and profit 3,656.33 Total Materials, Equip. Rentals & Hotels Total Job Price $17,351.25 $31,781.93 $49,133.18 PETRO SUPPLY, INC INVOICE' 7091 DORSEY RUN ROAD REPRINT MARYLAND 21075 ELKRIDGE , .9393 3540 Fax 30-1-444 Phone 301 953 . . ` . ., 163293 N be iy.com ww ..petro um r 08/05/2011 ? . KI.ASSIC ENTERPRISES 1 , KLASSIC ENTERPRISES 3073 BITTERNUT BLVD. 'o' 3073 BIITERNLIT BLVD. YORK, PA 17404 'i YORK, PA 17404 Rei phi 1,: - S Vt hip a 08/05/11 001 LAUREL NET 30 MD 1083354 '01 PREPAID BESTWAY em 1 d L Description i7rdered Shipped; Backordrd UM i Price UM Extension 72-700-1 O RING 1.00 1.00 .00 EA 1.50 EA 1.50 12-689-1 RETAINING RING 1.00 1.00 .00 EA 3.75 EA 3.75 14-319-5 KIT 5 WIRE CONNECTOR 1.00 1.00 .00 EA 129.75 EA 129.75 72-574-1 O RING 1.00 1.00 .00 EA 6.75 EA 6.75 10-064-5 CONDUIT BOX & YOKE 1.00 1.00 .00 EA 647.25 EA 647.25 12-697-1 RETAINING RING -1.00 1.00 .00 EA 3.00 EA 3.00 URCHARGE QUICK SHIP CHARGE 1.00 1.00 .00 EA 200.00 EA 200.00 I 992.00 .00 47.52 72.02 1111.54 REMIT: 7091 DORSEY RUN RD. F.i KRIDGE MD 21075 ' f J Gary L Templin Jr. Excavating & Trucking, LLC 1829 Mapledale Road Elizabethtown, PA 17022 HIC#PA035987 Phone # 717-689-5311 Bill To Manic Enterprises Kevin York 3073 Bittemut Blvd York, PA 17404 Quantity Description P.O. No. 7/26/11 - 7/30/11 5 1 ioe (5300/day ) Kobelco C erRental (7/3 0/11) 1 CAT Trackhoe Rental Operating Hammer (7/30/11) 7/26/11 9 Truck 100 Truck Gait Layman 3:5 Truck 406 7/27/11 Truck 100 ( 0 3 Truck Gail Layman ' ,'N 7/30/11 10.5 Truck 100 C 12 5.5 Truck 108 Truck 102 10.5 Truck 475 Please make checks payable to Gary L Templin Jr. Excavating & Trucking, LLC Invoice Date Invoice !7/26/2011 1328 Terms Due Date Net 30 8/25/2011 Rate Amount 300.00 1,500.00 600.00 600.00 300.00 300.00 70.00 630.00 70.00 630.00 70.00 245.00 1,505.00 70.00 420.00 70.00 210.00 70.00 735.00 70.00 840.00 70.00 385.00 ) 70.00 735.00. t' 695.00 3sas;?c) Total $7,230.00 Gary L Templin Jr. Excavating & Trucking, LLC 1829 Mapledale Road Elizabethtown, PA 17022 HIC#PA035987 Phone # 717-689-5311 Bill To Klassic Enterprises Kevin York 3073 Bitternut Blvd York, PA 17404 Invoice Date Invoice # 8/112011 1371 P.O. No. Terms Due Date Net 30 8/31/2011 Quantity Description Rate Amount 8/1/11 - 8/5/11 Kobelco Trackhoe (5300/day) (8/1, 8/2, 8/4, 815) 300.00 1 200.00 =erRental (8/1/11 -8/4/11) 608.00 , 1,824.00 3 CAT Trackhoe 8/1/11 - 8/3/11 300.00 S1Q0 00 Dozer Rental 57140 _ 572.40 ! ger Trac"oe and hammer rental 4,598.58 9,094.98 8/1/1 f - Truck 12.5 Truck 100 70.00 875.00 875.00 8/2/11 11.5 Truck Ken Rodgers 70.00 805.00 805.00 8/4/11 17.5 Truck 449 70.00 1,225.00 1,225.00 8/5/11 5.5 Truck 100 70.00 385.00 9.75 Truck 406 70.00 682.50 6.5 Truck 475 70.00 455.00 1,522.50 Payment is due 30 days from invoice date. Accounts over 30 days past due are subject to a 1.5% per month service charge and a late fee Total $13,522.48 /Y d -f C119 nn „o......-+I, 1-1'? t r' 4 ' O irtad Renta/s- 800-UR-RENT5 (800-877-3687) unitedrentalsxom uI i 4 2 a PAYMENT OF $963.69 DUE ON 9/02/11 t. PAYMENT OPTIONS : Check(Mail) - Check(Fax) - Credit Card(Phone) BILLING NIOI ws : Ph# 888-481-2660 Fx# 704-921-6627 REMIT TO: UNITED RENTALS (NORTH AMERICA), INC. PO BOX 100711 ATLANTA, GA 30384-0711 Please detach and return top portion with payment 4--_., «_: RENTAL ITE1I8: QtY Equipment Description Minimum Day week 4 Week 1 370211 *EXCAVATOR HYDR BREAKER 1500-2000# 301.60 301.66 1028.56 2277.60 Make: ATLASCOPCO Model: HBC1100S Serial: KAL000921 3 day rent only. * returned with broken point. 904.80 Rental Subtotal: 904.80 SALES/MISCELLANEOUS ITEMt Qty Item Price Unit of Measure Extended Amt. 1 ENVIRONMENTAL CHARGE [ENV/MCI] 4.340 (EA) EACH 4.34 Sales/Nisc Subtotal: 4.34 Agreement Subtotal: 909.14 Tax: 54.55 Total: 963.69 COMMENTS/NOTES- CONTACT: KEVIN YORK CELL#: 717-600-5660 TO SCKM)ULE EQUIPMENT FOR PICKUP, CALL 800-UR-RENTS (800-877-3687) NS ARE AVAILABLE 24/7 TO SUPPLY YOU WITH A CONFIRN&TION # IN ORDER TO CLOSE THIS CONTRACT THIS INVOICE IS ISSUED SUBJECT TO THE TERMS AND CONDITIONS OF THE RENTAL AGREEMENT, WHICH ARE INCORPORATED HEREIN BY REFERENCE. LOCATION #1239 825 GST1'YSBVRG ROAD ,NKCBANSCSBURG, PA 17055 717-766-4713 717-795-6195 FAY PARTIAL RETURN . INVOICE # 94656531-001 customer Number : 910944 Invoice Date 8/03/11 Rental Out 7/26/11 4:30 PM Rental In 7/29/11 4:36 PM Job Location: 1501 HARRISBURG PIKE, CARLI Job Number .?-- P.O. Number PILOT 708 Rl -- _ Ordered By - - Written By UR239LH Salesperson 7342 FLYING J 1501 HARRISBURG PIKE CARLISLE, PA 17015-7306 Office: 717-650-6185 Cell: 717-600-5660 KLASSIC ENTERPRISES 3073 BITTERNUT BOULEVARD YORK, PA 17404-8556 A COPY OF THE RENTAL AGREEMENT IS AVAILABLE UPON REQUEST. Page : I AL.S Enuironm ental 34 Dogwood Lane ¦ Middletown, PA 17057 ¦ Phone: 717.944.5541 ¦ Fam., 717-944.1430 ¦ www.aisgiobal.com Remit To: ALS Environmental, P.O. Box 975444, Dallas, TX 75397-5444 Phone (281) 530-5656 Terms: Net 30 days. Penalty of 1.5% per month if paid after 30 days We accept Visa, Mastercard, AMEX and Discover Invoice To: Mr. Kevin York Invoice #: 40-827909 Klassic Enterprises Invoice Date: 8/5/2011 3073 Bittemut Blvd. York, PA 17404 Client #: K5277 Client Name: Klassic Enterprises Profile: 255673 PO: 2011-SOIL SAMPLING AND TESTING Workorder Flying J 708 [9918419] Manager: utter Charge Summary -. MTBE 1 $55.00 $55.00 " $50.00 RUSH Surcharge 100% 1 $215.00 $215.00 C3ieeet' ) .,t;RQ $k00 Gasoline Range Organics (GRO) 1 $80.00 $80.00 Invoice Total $480.00 Charge Details f y`. 9918419001 Flying J 708 7/28/201108:30 7/28/2011 W001 S Diesel Range Organics 1 $80.00 (DRO) Gasoline Range Organics 1 $80.00 (GRO) MTBE 1 $55.00 RUSH Surcharge 100% 1 $215.00 Sampling 10 $50.00 Invoice #: 827909 ALS Environmental Laboratory Locations Across North America Canada: Burlington • Cakgary - Centre of ExcdIence . Edmonton • Fort Moftw y • Fort St. John - Grande Prairie • London • Mississauga • Rkhm nd Hill - Saskatoon • Thunder Bay Vanmwer Waterloo • Winnipeg • Yelowknife (Mined Statm Cincinnati • Everett • Fort Collins • Holland • Houston - Middletown • Sak Lake City • Spring City • York Mexico: Monterrey Friday, August 05, 2011 11:01:15 PM Page 1 of 1 sLpped From: INDUSTRIAL PIPING SYSTEMS, INC 1250 TORONITA ST YORK, PA 17402-1992 Phone 717-846-7473 Fax 717-846-0035 Remit To: Industrial Pippin9 Systems,inc. 1250 Toronita Street York PA 17402 Phone 717-846-7473 Fax 717-846-1043 Page: 1 Bill To: Ship To: KLASSIC ENTERPRISES,LLC KLASSIC ENTERPRISES,LLC 3073 BITTERNUT BLVD. 3073 BITTERNUT BLVD. YORK, PA 17404 YORK, PA 17404 G. 0 Terms Due Date- 2 W 10 Da 09/07/11 Order-Dat e-r Inv-Date Writer Invoice No. Via Slsman /O-Jo 08/08/11 08/08/11 _WENTIN?81849058.OO1TPU SCH FYINGJ 708 Order Qty Ship Qty Desccription -Vrri-t-gr-ice Net 40' 40' 1-1/2 TY L HARD COPPER TUBE 9.162ft 366.47 #2300030 40' 40' 3/4 TY L HARD COPPER TUBE 3.260ft 130.41 #2300015 2ea 2ea 1-1/2 COPPER COUPLING - STAKE 5.972ea 11.94 #2320050 3ea 3ea 3/4 COPPER COUPLING - STAKE 1.278ea 3.83 #2320030 eat F btotal 512.65 es Tax 30.76 If you pay by 08/18/11 you may deduct 10.25 Freight Handling Pay This Amount 0.001- 0.001- 543.411 81BlM 2:4M PM Si849 %.W ** VISIT US ON-LINE at www.ipapipe.com ** Web Order Entry Available Ask Your Sales Rep ***** NOW OFFERING EMAILING OF INVOICES ***** CONTACT CATHY @ cathy.weeks@ipspipe.com -- INVUIVC ____ ZACH :y - Water Depot, Inc. 1301 Avondale Road New Windsor, MD 21776 Phone: 410-857-9670 Fax: 410-857-2814 Invoice Date Invoice # 8/10/2011 2011-1654 Bill To Klassic Enterprises Attn: Kevin York 3073 Bitternut Blvd. York, PA 17404 Remit To Water Depot, Inc. 1301 Avondale Rd: New Windsor, MD 21776 Xw-T C. I s AX, of Manifest No. Job No. P.O. No. Terms Due Date NR81111A Net 30 9/9/2011 Quantity Description Rate Serviced Amount 50 Non-hazardous, non-regulated liquid disposal 0.25 8/1/2011 12.50 5 Vacuum Truck 85.00 8/1/2011 425.00 Flying J 1501 Harrisburg Pike Carlisle Pa . AQ 0L) Total $437.50 Balance Due 5437.50 .'' N0. 2241946 UB WATER SERVICE, INC. `?-' ' ``} 427 SKELLY ROAD CHAMBERSBURG PA 17202 R 022 PHONE: 717-264-8445 PAGE 1 Y?t4_? _ FAX 717-2 DATE: 2 64-9075 TIME 7404 INIT : LOCATION: - - - -g ,. SHIP VIA: CUSTOMER PICKU4"By T-YPE:? "C ZLIVERY NS RUCTIONS T' pL: m€ $364,36M 1 R?* ##* • i t l X • • f -4 w R w R i# w i R l i R R i R `t i R# i## R R i T 1 1/2" X 20' TYPE "K" SOFT COPPER TUBING ?"NG owl", ?i 1{t?gty y?p?{?+6 yty t `M Gti3L 4FftS4'N{iI 'R.s h?aL ilT 3 ?Z gf1y".."a ,i:, -+t--'`.. LWICES I - RE : L+liXi i v •pp?r ?j {{}}tt'' yyo?uu rt r (' 3?ri ' .?.?rtyy L'r's v NT R T 14 E! 9 U, I ? l fr -= f , ?•. " k i f /J( 111111 "?°" C . Sales Tax 20.62 Invoice Amount 364.36 ?United RwWlsi, 82LOCATZON #239 8Z5 TYSBURG 5 GE GST RG ROAD JOCHANICSBURG, PA 17055 8oo-UR-RENTS(800-877-3687) 717-766-4713 717-795-6195 FAX unitedrentals.com ® FLYING J y ,a 1501 HARRISBURG PIKE W CARLISLE, PA 17015-7306 O t3Office: 717-650-6185 Cell: 717-600-5660 4.1.601 1 MS 0.387 35355S11.p031 of 1 700 KLASSIC ENTERPRISES 3073 BITTERNUT BOULEVARD YORK PA 17404-8556 00601 RENTAL RETURN INVOICE Customer Number 910944 Invoice Date 8/08/11 Rental Out 7/26/11 4:30 PM Rental In 6/04/11 2:03 PM Job Location: 1501 HARRISBURG PIKE, CARLI Job Number . 36 P.O. Number : PILO 708 ROCK Ordered By : KEVI Written By : UR239LH Salesperson : 7342 PAYMENT OF $26222.35 DUE ON 9107111 i PAYMENT OPTIONS : Chock(Mail) - Check(Fax) - Credft Card(Phone) BILLMIG 114 WRIES : Ph# 888-481-2680 Fx# 704.921.6627 REMIT TO : UNITED RENTALS (NORTH AMERICA), INC. PO BOX 100711 ATLANTA, GA 30384-0711 -------------------------------------------•-•--- RENTAL ITEMS: QtY Equipment Description Minimum Day Week 4 Week Amount 1 1031991 *RXCAVATOR 30000#-34999# 597.00 597.00 1994.00 4421.00 1,994.00 Make: UCB Model: JS130 Serial: 1179433 Meter out: 2090.70 Meter in: 2109.80 Adjust for downtime 07-29 to 8-3. 4 day rent Rental Subtotal: 1,994.00 SALES/MISCELLANEOUS ITEMS: Qty Item Price Unit of Measure Extended Amt. 1 ENVIRONMENTAL CHARGE [ENV/MCI] 9.570 (8A) EACH 9.57 35.11 DYED DIESEL [DYEDDSL/MCI) 7.700 (EA) EACH 270.35 1 DELIVERY. CHARGE 100.000 (RA) RACE 100.00 1 PICKUP CHARGE 100.000 (RA) RACE 100.00 Sales/Misc Subtotal: 479.92 Agreement Subtotal: 2,203.57 Fuel: 270.35 Tax: 148.43 Total: 2,622.35 CONNMTS/NOTES: CONTACT: KEVIN YORK CELL#: 717-600-5660 TO SCMUMS EQDIPMBNT !OR PICKUP, CALL 800-UR-RENTS (800-877-3687) WE ARE AVAILABLE 24/7 TO SUPPLY YOU WITH A CONFIRMATION # IN ORDER TO CLOSE THIS CONTRACT TOM INVOICE IS ISSUED SUBJECT TO THE TERMS AND CONDITIONS OF THE RENTAL AGREEMENT, WENCH ARE INCORPORATED HEREIN BY REFERENCE. A r.nPV OF THE RFNTAI Al:CFCMCAIT 10 AVAU - c ..- -- „-ter Shipped From: INDUSTRIAL PIPING SYSTEMS, INC 1250 TORONITA ST YORK, PA 17402-1992 Phone 717-846-7473 Fax 717-846-0035 Bill To: KLASSIC ENTERPRISES,LLC 3073 BITTERNUT BLVD. YORK, PA 17404 111Av vwc _, - _. _. Remit To: Industrial P1pIn Systems,inc. 1250 Toronita Street York PA 17402 Phone 717-846-7473 Fax 717-846-1043 Ship To: KLASSIC ENTERPRISES,LLC 3073 BITTERNUT BLVD. YORK, PA 17404 Page: 1 Terms Due Date 2W elOrr-_Net 30 )109/23/11 rder-Dat 7Inv-Date Writer Invoice No. Via SlJ0-J08/24/11 08/24/11 WENTIN 31851536.001 PU SC LOT 708 Order Qty Ship Qty Desccription Net 4ea 4ea 2 150# 304 SS BARSTOCK SCR UNION 87.25lea 349.00 #2130640 lea lea 2 x CL SCH 40 304 / 304L SS NIPPLE 4.613ea 4.61 #2120810 lea lea 2 x 2-1/2 SCH 40 304 / 304L SS 5.138ea 5.14 NIPPLE #2120820 lea lea 2 x 3 SCH 40 304 / 304L SS NIPPLE 5.948ea 5.95 #2120840 lea lea 2 x 3-1/2 SCH 40 304 / 304L SS 6.835ea 6.83 NIPPLE #2120845 lea lea 2 x 4 SCH 40 304 / 304L SS NIPPLE 7.72lea 7.72 #2120850 lea lea 2 x 4-1/2 SCH 40 304 / 304L SS 8.606ea 8.61 NIPPLE #2120855 lea lea 2 x 5 SCH 40 304 / 304L SS NIPPLE 9.492ea 9.49 #2120860 lea lea 2 x 5-1/2 SCH 40 304 / 304L SS 10.378ea 10.38 NIPPLE #2120865 lea lea 2 x 6 SCH 40 304 / 304L SS NIPPLE 11.265ea 11.27 #2120870 *** Continued on Next Page *** Be's • V1VV • 'Shipped From: INDUSTRIAL PIPING SYSTEMS, INC 1250 TORONITA ST YORK, PA 17402-1992 Phone 717-846-7473 Fax 717-846-0035 Remit To: Industrial Piping Systems,inc. 1250 Toronita Street York PA 17402 Phone 717-846-7473 Fax 717-846-1043 Bill To: KLASSIC ENTERPRISES,LLC 3073 BITTERNUT BLVD. YORK, PA 17404 Ship To: KLASSIC ENTERPRISES,LLC 3073 BITTERNUT BLVD. YORK, PA 17404 Terms `296 10 Days Net 30 rder-Date Inv-Date Writer Invoice No. Via SlsmaP/O-Job- 08/24/11 T08/24/11 7WENTIN7S1851536.001IPU TSCHqPILOT 708 Order Qty Ship Qty Desccription Unit Price Net btotal Sales Tax 419.00- 25.14 It you pay by 09/03/11 you may deduct 8.38 Freight Handling -Pay This Amount 0.00T_ 0.001 444.141 812WMSM-0AM SIB6163 M ** VISIT US ON-LINE at www.ipspipe.com ** Web Order Entry Available Ask Your Sales Rep ***** NOW OFFERING MAILING OF INVOICES ***** CONTACT CATHY @ cathy.weeks®ipspipe.com > KM YB PO Page: 2 Due Date 09/23/11 Crompco, LLC 1"0", CH"?V? i CO INVOICE Number: 310621 Work Order #301804 Date: 08/1612011 TO: Flying J Travel Plaza Kevin York 3701 Carlisle Road Dover, PA 17315 LOCATION: Post Construction Flying J Travel Plaza EK32 1501 Harrisburg Pike I-81 teExit 52 SERVICE DATE: Wed Aug 10th, 2011 Quantity Description Unit Price Total 1 Expenses: MINIMUM SITE CHARGE $400.00 $400.00 I LINE ONLY: Diesel $0,00 $0.00 TOTAL: $400.00 All applxc bk Cues for work perf-od under this kuturacl hart been paid to the proper jurisdiction. Customer ID: [KLA001 j Payment Terms: Net 30 PLEASE WRITE THE LNVOICE NUMBER ON YOUR CHECK OR PAYMENT DOCUMENT 6?)? kv-6 PLEASE REMIT PAYMENT TO: 1815 Gallagher Road Plymouth Meeting, PA 19462 (610) 278-7203 phone (610) 278-7621 facsimile 1 CapRaiftWe nN??*?. ;:tmxMitrrottOF17WICE Corporate Headquarters Distribution Center 8511 Pepco Place Upper Marlboro, MO 20772 Ph. 301-909-6500 Fax 301.735-6819 I? SOLD TO: 3221 M8 0.380 E01 55X 10400 0363832961 P852869 0001:0004 I?dllr?lutr?u?lllll?'??"??IIrIL?tllrllnrlllll?r?n?ll??llll kNIM KLASSIC ENTERPRISES 3073 BITTERNUT BLVD YORK PA 17404-8556 56071 1 ( PILOT X-TRA Branch Serving You: Cap' ITnstate 1150 N. SHERMAN ST. YORK PA 17402-2123 717-755-1455 Fax 717-755-2710 SHIPPED TO: 56071 KL.ASSIC ENTERPRISES 1501 HARRISBURG PIKE 9LISLE PA 17013 RICK HOECKEE?____??plpg?{170.001 I KYOR 08/25/2011 iuc'3100utrur 11-WK W roszlutrt-1UNG 60 60 163. 1-5/814GA ELO HOLE 1 OFT CHANNE 98006006006 PVC 200P 21N SCH40 PVC CONDUIT 540 540 75 ./ "?' y 3a.el C-&? ? x/-7-j INVOICE S010821170.001 08/25111 Page 1 of 1 KEVIN YKF1 FLATBED 3 c 98.24 9 C 407.65 00 FROM GETTING A STATEMENT TO MAKING A STATEMENT We offer a convenient way for you to receive you invoices and statements via invoice Gateway, our secure online site. With Invoice Gateway, you are notified by email when new bills are posted. You can search, sort, view, print, download on this site. http://`capitallighdng.bli trust.corrV Save time and money. Save a tree. Go paperless by choosing the option above and make a statement. If paid by 09/10/11 you may deduct $6.04 SUBTOTAL All payments are due by 09/25/11. S & H CHARGES Purchaser agrees that any unpaid balance past due shall be charged 2% SALES TAX PA per mo(n'th?interest (24% annum). TOTAL DUE ? Payment YaNina Address: s O n e p a r CaphelTristate PO BOX 404749 use ATLANTA GA 30384-4749 http://cnpltal8ghdng.billtrustcom pKy ugly rvK 536.24 505.89 0.00 30.35 CapitalTdst to TW HECT9IM 9W1WM i0110FCN0U Corporate Headquarters Distribution Center 8511 Pepco Place Upper Marlboro, MO 20772 1? Ph. 301-909-6500 Fax 301-735-6819 l? i! SOLD TO: 3221 MB 0.390 E0155 104010363632962 P852869 0002:0004 g1111oiluu1n?lllll?'??"??Ihlh?rllrllnrlllll?r?nrll??llll KLASSIC ENTERPRISES 3073 BITTERNUT BLVD YORK PA 174048556 Branch Serving You: CapitalTristate 1150 N. SHERMAN ST. YORK PA 17402.2123 717.755-1455 Fax 717-755-2710 SHIPPED TO: 56071 KLASSIC ENTERPRISES 1501 HARRISBURG PIKE YI - .. LISLE PA 17013 INVOICE S010821170.002 08125/11 Page 1 of 1 56071 -PILOT X-TRA KEVIN RICK HOECKE S010821170.002 KCDC 08/25/2011 YKF1 FLATBED 70231650694 P-STRUT PS1300-3/4AS-EG 14 14 70.801 c 9.91 3/4 UNIVERSAL CLAMP NEWBASiS SGA141912TGHNELECTRIC 1 1 33.73 ea 33.73 W/GRN ELECTRIC COVER 98006006046 PVCFIT 20OP40 90D SCH40 ELB 9 9 1.95 ea 17.55 21N 90DEG SCH40 PVC COND OW 98006006106 PVCFIT 200P CP IN PVC COND COUPLIN@A 27 27 62.84 c 16.97 78351038260 HOFF A6612RT 1 1 41.53 ea 41.53 NEMA3R SC WIRINGTROUG 78590119985 SOD LDB61 6X6X1 FT GRAY WIREWA 1 1 27.25 ea 27.2E 78590120012 SOD LDB6CP 2 2 6.44 ea 12.8E IREWAY 6 x 6 - N1 Paint - Closing Plate 78590141690 ?• 2P D QOB23 3 3 3 54.69 ea 164.07 0A Cis" ' `J0 GO FROM GETTING A STATEMENT TO MAIONG A STATEMENT n a convernent for for you to receive your invoices and statements via Invoice Gateway, our secure online site. With Invoice Gateway, you are notified by email when new bills are posted. You can search, sort, view, print, download on this site. http://capitallighOng.bilftst.com/ Save time and money. Save a tree. Go paperless by choosing the option above and make a statement. If paid by 09/10/11 you may deduct $3.01 SUBTOTAL All payments are due by 09/25111. S & H CHARGES Purchaser =that any unpaid balance past due shall be charged 2% SALES TAX PA per month iQnterest (24% annum). 41 TOTAL DUE Payment Molina Address: CapitaITristate s o n e p a r PO BOX 404749 aaa ATLANTA GA 30364-4749 http:ikapitallighting.bilkrust.com PKV LPW HVK 323.89 0.00 343.32 • 6 = INKSTRIAL PIPING SYSTEMS M INDUSTRIAL PROBLEM SOLVERS INDUSTRIAL PIPING SYSTEMS • INDUSTRIAL PROBLEM SOLVERS YORK LANCASTER WILLIAMSPORT YORK LANCASTER WILLIAMSPORT 1250 Toronita St. 1133 Manheim Pike 1309 Commerce Park Dr. 1250 Toronita St. 1133 Manheim Pike 1309 Commerce Park Dr. York, PA 17402 Lancaster, PA 17601 Williamsport, PA 17701 York, PA 17402 Lancaster, PA 17601 Williamsport, PA 17701 (717) 846-7473 (717) 672-0727 - (866) 675-7762 (570) 326-3033 (717) 846-7473 (717) 672-0727 - (866) 675-7762 (570) 326-3033 (800) 247-4469 Fax: (717) 672-0730 (800) 860-1411 (800) 247-4469 Fax: (717) 672-0730 (800) 860-1411 Fax: (717) 846-0035 www.ipspipe.com Fax: (570) 326-3122 Fax: (717) 846-0035 1Nww.ipspipe.com Fax: (570) 326-3122 004--N A-v vvxa.r, CHAMBERSBURG STATE COLLEGE 409 Grant St. 2553 Carolean Industrial Dr. Chambersburg, PA 17201 State College, PA 16801 (717) 434-1215 (814) 231-5215 Fax: (717) 261-1299 Fax: (814) 231-1534 WBE Certified ranisle r I51JI'? 1 CZ_7129ji r,*, ?y-{ CHAMBERSBURG STATE COLLEGE 409 Grant St. 2553 Carolean Industrial Dr. Chambersburg, PA 17201 State College, PA 16801 (717) 434-1215 (814) 231-5215 Fax: (717) 261-1299 Fax: (814) 231-1534 WBE Certified • = SIM W. INDUSTRIAL PIPING SYSTEMS • `moo INDUSTRIAL PIPING SYSTEMS INDUSTRIAL PROBLEM SOLVERS .. ? INDUSTRIAL PROBLEM SOLVERS YORK LANCASTER WILLIAMSPORT 1250 Toronita St. 1133 Manheim Pike 1309 Commerce Park Dr. York, PA 17402 Lancaster, PA 17601 Williamsport, PA 17701 (717) 846-7473 (717) 672-0727 • (866) 675-7762 (570) 326-3033 (800) 247-4469 Fax: (717) 672-0730 (800) 860-1411 Fax: (717) 846-0035 www.ipspipe.com Fax: (570) 326-3122 '7A C vn To®aer-- tnrlt'1,r-, ---T itok co'cv?k it s ? _ l C i _ . tom.. 1 1 i-% - _ . _ _. ? .. _ A, YORK LANCASTER WILLIAMSPORT 1250 Toronita St. 1133 Manheim Pike 1309 Commerce Park Dr. York, PA 17402 Lancaster, PA 17601 Williamsport, PA 17701 (717) 846-7473 (717) 672-0727 • (866) 675-7762 (570) 326-3033 (800) 247-4469 Fax: (717) 672-0730 (800) 860-1411 Fax: (717) 846-0035 www.ipspipe.com Fax: (570) 326-3122 L-A, r \10 ftihn R lay 1-71 -1 1 S 11 6" tS vt -N C r . ll 6th -? q s? "rim= 91[6 f c&& I/Za it x.15 - 7Wr ( aD, P: k+ C6Hgole-I Z714 5:3? -(o:?t? 1 Qw CHAMBERSBURG STATE COLLEGE 409 Grant St. 2553 Carolean Industrial Dr. Chambersburg, PA 17201 State College, PA 16801 (717) 434-1215 (814) 231-5215 Fax: (717) 261-1299 Fax: (814) 231-1534 WBE Certified CHAMBERSBURG STATE COLLEGE 409 Grant St. 2553 Carolean Industrial Dr. Chambersburg, PA 17201 State College, PA 16801 (717) 434-1215 (814) 231-5215 Fax: (717) 261-1299 Fax: (814) 231-1534 WBE Certified AL ?i I I 1 i 1 f I I ? I I I I ' I • ' I , ? r I i ? I j I I i . I . y i 4 a • i ?, I , ? j I I , J 1 I I I If 1 I I S { ? ? ? _ I -' I 1 00 I - + 1 -? I 0001000'd Mil a r' 7A-PA ? , ns iw« •?- sl y 1 000/Z00'd 89941 0 zo:60 tloz/RO/RO ?i i ! CCC?,??, s ` ? 1 LL 000/l00'd 89910 -? -r TO t a I _? _ a i .r? r i ICA I 3 W60 l l0i s n ,Y. n > w to " °a ?a A 1 W m ? A? O N$?r a-p ? 111 III:II • \1 e w c . e ? i V ?D r3` Ri y x Uid Z d r- A Q m 04 Q; o G r ''r ^ti It -? s a y fill! V r ? =t ivai A • 10 a d? -i J O ri o C ?% ? O C 9 VIA o -- m m e 3 1 VO m ? N N I U1 rj m a ? 1 ^, • Q C .P C-i Cj c J C c 3 o 1 VD _m 4 ? I I I I I I C 3 3 ' C O co 051 GO ao ;?v ? -- ! I r c_ ? II O i C Cl, m 3 s 0 3 ID s J ? ? -*. `'k, O a? Q ? I ci l C c °`' • i ? c ? ? c ?? a l NA) 0 M W m I i ' ? 3 x j ?? 1 I m M 0 •? --? qi? 4 i r I i 0 i i 1 O G J z CD m 3 N S M SUBCONTRACTOR'S FORMAL NOTICE OF INTENTION TO FILE MECHANIC'S LIEN CLAIM (Proposed Mechanic's Lien Not Attached) (This is not a Mechanic's Lien. It is a Notice sent for your protection as required by state law.) Via Certified Mail VQ_( roAtrS, LL L ?='R Lono?s Qr i'y e. (ad -. treet) )6"v (v' lle. .7:N 37409 (address--W, state, zip) Please be advised of the following: 4e5 (address---no. and street) X16 r• K . 2,Jq / 7 ?o (add te, zip) 717-7L7-yo3S 717 (fax"one) PROJECT NAME: r Y? ?1q ?r e-? [It 3 0. 0708 General description of the property against which a Mechanic's Lien may in-the future be filed 1-17,01 14 cc-rc1 S b CA 1-!S Pi Kt. C a; r- 1 c S? 2 1/t+ 1 7 0 1 3 (1) (2) Name and address of person or company subcontractor has a contract/P.O. with: P S {- r r a^ IG I30 ?.Ss V s ' , ?-e o21 O dale ITti ? IV IL 5 (3) Amount Currently Due: through date) is"Jom 1:1.10 after just credits (total performed, with extras of is ,7f? less ents of 1jIt? a R ) The date the undersigned sent you a Subcontractor's Preliminary Notice: W/J+ A copy is attached. (4) The date of completion of the work for which this claim is made: --a/7/-p ja. This consists of formal notice of the undersigned's intention to file a Mechanic's Lien Claim if payment is not made forthwith. Dated: 3 ?? (? ?-- l 4 S S 11 C- r> t AI" i S t S L (_ t; (Individual/comp name) By: - 02006 NatlonalLienLaw.oom. All rights reserved. (925) 8996449. Email-info@NationalLienLaw.com. Revised 12/x5 r I PROOF OF SERVICE OF (Name of Document) C (C' I declare that: I am over the age of 18 years, and my business address O 7yC c/ On the date set forth below, I served the above-described document as follows: CERTIFIED MAIL WITH CERTIFICATE OF MAILING Placing true and correct copies enclosed in a sealed envelope(s), first class, certified, return receipt requested, postage fully prepaid, for collection and mailing addressed as set forth below. I am readily familiar with the business practice for collection and processing of correspondence for mailing with the United States Postal Service. This document was served on the following persons/entities: Name of Person/Company Served: P I (o4 Tm vel Cen.kf3 / Uc Address: .? So k L o? S 6?r ? ? ? Kr-)ea-y t C , TIM , fro 0 0 E /_L4r?V S V Tr'c e4 Rrl le irk, , N C. 02-7405 I declare and state under oath, as well as under penalty of perjury, that the foregoing is true and correct to the best of my knowledge and belief. Ses Executed on 3/4/a,1?(date), at ©2(L, c.e- )R4 place). (Job Title) (Signature of Person Sending Notice) Copyright 2006 NationalLienLaw.corn, LLC. All rights reserved. (925) 899-8449. E-mail- inioeNationalLienLaw.com. O RRecallpt Fee (E AM Fwqubw) O 0 Fee (??qeq fired) N d Total P~ & Fees C3 t -- ----. O [N- Sirieet, t No:; a PO Box NO. postrneck Here h. Comoste items 1, Z arKL3. Also oorr0 to a Item 4 If Fladdcted Delivery is desired. ¦ Prh t your name and address on the, reverse ? ndd mm so that we can return the card to you. ' ¦ Attach tide card to the bark of the tri 4gecis B. ' by Pri W ) C. Date of D*my SOMWed ,, ekre n the frkxrt # aR s sp Or o P D. le deb ery addiese dI farenttnxn own 1? ? Yes 1. Article Addressed tw. N YES, enter delivery address below. ? No i © 4- Trc. ve I can 4f-es SSO Longs ar ; v•c. k , Wv? e and f7 a aqmeas d,?aa >', v; I I ?., 7'rv 37go Figglabn .O.DRe t,ert t>ss o A C , 4. ResI I J DvAvW F-Xba Fee) C] Nee 2 Article Number 1972 5420 rnwmw from wrvke w-n 7013-? 132213 1313134 Ps Form 3811, Februa Retum Recelpt 102595-02-ty l540 O ru 1n ru Ir 7C9ruW rl