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HomeMy WebLinkAbout06-2772 7LvO~..J'17:t MJ..O j...... PA Mechanic's Lien Claim Name of Claimant: EME Development Corporation DBA Excel Interior Concepts and Construction (contractor) Name and Address of Owner: Brian K and Lori A Spiegel 61 Longview Drive Mechanicsburg, P A 17050 ParcellD: 38-21-0289-042 District No: 38 Deed Book Page: 00216-00563 Date of Completion of Claimant's work: 5/16/06 Contract: See attached contract and specifications for Master Bathroom remodel Amount Claimed: $5670.60 (~ee attached invoice) Description of improvement: Master Bathroom remodel at 61 Longview Drive, Mechanicsburg, P A 17050 see attached specifications of work performed. J~m~s 1\. ff\~f8\~~ ) J( _ P(.Q.>~d~v--1 €me: b~b~e~Y Cur", Df!:.A Exce.\ \\'\T.Qf\o< G7r,t.Qrt5 t C~S\'(,^cnllY) I CONSTRUCTION AGREEMENT EXCEL interior concepts & construction 570 South Third Street Lemoyne, P A 17043 Phone: (717) 774-4990 Fax: (717) 774-0592 Page I ofl Owner: Brian and Lori Spiegel Address: 61 LongviewDrive Mechanicsburg, P A 17050 Date: Phone: March 3, 2006 979-9785 We hereby enter into a construction agreement for the following: Master Bathroom re od I at the above residen4 according to the attached plans and tbe attached specifications. Plans are dated' () an consist of paqe(s), Specifications are dated and consist of pages(s). Rights, Terms, and Conditions Warranty and Requirements for Materials and Workmanship: All work described in this agreement and any work developed by a change order is guaranteed by EXCEL'S limited five-year warranty. See attached "Limited Five (5) Vear Warranty" for details, All workmanship shall meet or exceed the guidelines as described in Residential Construction Performance Guidelines For Professional Builders and Remodelors, written by the National Association of Home Builders' Remodelors Council. All work shall also be in accordance with local bUilding codes. This contract supersedes any standards, specifications, drawings, and/or any other infoooation provided by the OWNER or its representatives unless noted in the Specifications. Hidden, Concealed and Unforeseen Conditions: The price and teoos of this Agreement are made in good faith based on visual inspection and infonnation provided by the OWNER. In the event the contractor discovers a condition requiring an extra cost, which was not readily observable during initial inspections, EXCEL shall notity the OWNER immediately, At this point a CHANGE ORDER shall be executed for any additional work. This Agreement does not contemplate removal of any large rock when excavating. EXCEL will not be obliged to bear the extra costs of having to remove such rock. OWNER shall be responsible and liable for any existing underground pipe, electrical lines, water problems, water seepage into basement, springs or other underground impediments or problems not known to Contractor at time hereof. Extra Work and Change Orders: Any work requested by the OWNER after signing of original contract shall be executed with a CHANGE ORDER. All CHANGE ORDERS shall be agreed upon before commencement of EXTRA work by either lump sum price or time and material. The payment terms and changes in project schedule shall be described in the CHANGE ORDER, Trash and Debris Removal: EXCEL will be responsible to remove all construction related debris from the worksite during the construction process, Extra fill made from excavation for foundation is not considered debris and will be removed per the OWNER'S direction on a time and material basis and paid by a CHANGE ORDER unless noted otherwise in the specifications. EXCEL will maintain a clean worksite during construction and provide a general cleaning at the end of the project that will include sweeping and/or vacuuming floors, wiping down counters and fixtures and cleaning newly installed windows, one time, Temporary Utilities: OWNER, unless stated in agreement otherwise, shall be responsible for the cost ofal! utilities needed for construction and maintenance of the project. This includes but is not limited to heat, electric, water, and lavatory facilities. Matching Existing Finishes: EXCEL will use reasonable efforts to match existing fmishes and materials, However, an exact match is not guaranteed due to such factors as discoloration from aging, a difference in dye lots, or discontinuation of product lines. Custom milling of materials is not included unless specifically stated in the SPECIFICA nONS. Installation of Owner-Supplied Fixtures and Materials: EXCEL cannot warrant any OWNER supplied materials or fixtures, new or used. Any costs incurred by EXCEL for repairing/replacing defective fIxtures or materials, and surrounding work, shal! be charged on a separate CONTRACT or CHANGE ORDER. Disturbance of Landscape Vegetation: EXCEL will backfill and rough grade around new foundations, and will repair any yard damage caused by construction equipment, one time. New top soil, fine grading, raking, seeding and planting are the responsibility of the OWNER EXCEL cannot guarantee the survival of plants and shrubs disturbed during construction. Access to Construction Area: OWNER is responsible to provide access to the construction area at all times, Unless the owner notifies EXCEL before signing the contract, it is assumed that material deliveries and storage, dumpster storage, and staging areas are at the discretion of EXCEL Insurances: The OWNER is required to pay and maintain necessary Homeowner's insurance to cover existing home including the cost of the project. The OWNER'S insurance coverage takes affect when any material is installed, fastened, etc., in or on the project. EXCEL shall pay and maintain necessary insurances to cover "Workman's Compensationll and "Generalliabiliti'. Excel Initials: ,~101 F Client InitialS~ lf~ Page 2 of2 Timeliness of Construction: EXCEL will make all reasonable efforts to maintain the schedule of work and material deliveries, However due to conditions beyond our control schedules and completion dates cannot be guaranteed. EXCEL shall notify the OWNER of situations causing delays at which time they are discovered. Any materials being supplied or work being perfonned by the OWNER or OWNER'S contractors shall be done within the schedule as outlined by EXCEL Any additional work or costs incurred by EXCEL due to delay in schedule by the OWNER or its contractors shall be charged to the owner by a CHANGE ORDER, Timeliness of Payments and Agreement for Default: EXCEL shall reserve the right to stop all work on the project and keep project idle if payments are not made in accordance with the Payment Schedule. If said payments are not made as agreed, EXCEL must provide the OWNER written notice of the nature of OWNER'S default simultaneous with work stoppage. EXCEL will also provide the owner a 14-day period to cure default. The OWNER agrees to pay any costs and/or fees incurred by EXCEL in attempt to collect payments and agrees to pay a service charge of I 1,% per month on past due amounts. Transference of Agreement: This agreement and any addendums to it are non transferable unless agreed upon in writing by all parties described in the agreement. Dispute Resolution: Botb parties hereby agree that any controversy or claim arising out of or related to this Agreement will be settled through the Contractor Quality Commitment Complaint Resolution Procedures, through the Home Builders Association of Metropolitan Harrisburg, PA Both parties agree to adhere to the procedures and hereby agree to accept as fmal and binding the decision of said Ethics Committee. Substantial Completion: Substantial Completion is the point at which the Building/Work improvement is suitable for its intended use or the issuance of an occupancy pennit, whichever occurs first. We propose hereby to furnish material and labor - complete in accordance with specifications above, for the sum of: Twenty eight thousand nine hundred and seventy eight............OO/lOO dollars ($28,978.00) Payment Schedule: 30% deposit due at signing of agreement 50% upon material delivery and/or start of work 15% upon Substantial Completion 5% upon final completion t'g)iP93 4D :[U, POfi;CT ACCEPTANCE: Excel Authorized Signature: Desig e Note: Agreement may be withdrawn if not accepted within thirty (30) days. ACCEPTANCE OF CONSTRUCTION AGREEMENT - The above prices, specifications and conditions are satisfactory and are hereby accepted. You are au o' ed to d th work sp~i d. Payment will be made as outlined above. Date: b f\t\ r- d ~ Client Signature: Date: Client Signature: RECEIPT OF LEAD DISCLOSURE PAMPHLET: I have received a copy of the pamphlet, Protect Your Family From Lead in You, Home, informiug me oft potential r'sk of I d h~a~ exposure in my dwelling unit. I r<<eived this pamphlet before the work began, ,1 ~ Client Signature: Date: 0 (Y\,., (/ Client Signature: owledges receiving this notice. It. Date: .:3 fV'\t..r () ~ RIGHT OF RESCISSION: Client Signature: Date: You have entered into a transaction which could result in lien, mortgage, or other security interest being placed on your property, You have a legal right under federal law to cancel this transaction without penalty or obligation within three business days from the date above. If you cancel the transaction, any lien, mortgage, or other security interest on your home arising from this transaction is automatically void. You are also entitled to receive a refund of any down payment or other consideration, except fees charged for design agreements, if you cancel. If you decide to cancel this transaction, you may do so by notifying Excel Interior Concepts and Construction, 570 S. 3,d St., Lemoyne, PA 17043 by mail or facsimile no later than midnight of(3 business days after transaction date). You may use any fonn of written notice if it is delivered to the above address not later than said date, You may also use this notice to cancel the transaction (if it is delivered to the above address not later than said date) by signing and dating below. J hereby cancel this transaction. CLIENT SIGNATURE (if you wish to cancel) Excel Initials: . _{ILl F DATE Client Initials~ Y;n Page 1 of9 SPECIFICA TIONS Owner: Address: Brian and Lori Spiegel 61 Longview Drive Mechanicsburg, P A 17050 Date: Phone: , .t.l ,~ ,Q} l-t~::~ 'Co 1\( (\I , 3/3/2006 ~'^i. ~"5 home 979-9785 Lori1\Q , work 805-4930 Brian EXCEL interior concepts & construction 570 South Third Street Lemoyne, P A 17043 Phone: (717) 774-4990 Fax: (717) 774-0592 We hereby submit specifications for: Master Bathroom remodel at the above residence according to the attached plans and the following specifications: 1 Tear out: Removal of all furniture and decorations in the way of construction by Owner Removal of linen closet contents in the way of construction by Owner Remove faucet and countertop: By Owner Remove vanity cabinet: By Owner Remove vanity light: By Owner Remove vanity mirror: By Owner Remove existing exhaust fan: By Owner Remove all accessories in bathroom: By Owner Remove shower trims and valve: By Owner Remove one piece fiberglass shower unit: By Owner Remove closet door/trim: By Owner Remove baseboard: By Owner Remove toilet: By Owner Remove vinyl flooring: By Owner Remove wallpaper and wallpaper border in bathroom: By Owner Remove shower wall per plan Note: This proposal assumes that there are no plumbing lines in the shower wall being removed. If a plumbing line/vent is found the Owner will be responsible for the additional cost of re- routing. Remove closet walls and shelving per plan Note: Existing HV AC supply grille in the ceiling will remain unchanged Note: Existing window will remain unchanged (including trim, jambs, and sill) Note: Existing bathroom entry door will remain unchanged (including trim, jambs, and knob) Excel Initials:,. /1/U F Client Initials~ (/'/~. 'f-....AJ-t ,"" 1'-$ Page 2 of9 SPECIFICA TIONS EXCEL interior concepts & construction 570 South Third Street Lemoyne, P A 17043 Phone: (717) 774-4990 Fax: (717) 774-0592 Owner: Address: Brian and Lori Spiegel 61 Longview Drive Mechanicsburg, PA 17050 Date: Phone: 3/3/2006 home 979-9785 Lori work 805-4930 Brian Familv Room: Remove existing crown moulding at ceiling around fireplace brick surround Remove portions of existing drywall on ceiling as needed 2 Subfloor: Repair subfloor as needed due to moving of toilet Note: Repair of any damaged or rotted subfloor is not included in this proposal. If any is found the Owner will be responsible for the additional cost of repair. Install Metwood joist re-enforcers on exposed floor joists in living room ceiling as needed 3 Interior Framing: Frame in for new exhaust fan location in ceiling Frame in for new heat lamp location in ceiling Repair framing as needed where closet walls and shower wall were removed Frame in for shower knee walls and shower seat support per plan Frame in for recessed medicine cabinets Frame in for recessed shelves in shower (three at 8" x 12") Frame in for shower threshold Standard wall framing: 2x4 Studs spaced 16" on center with 2x4 top and bottom plates 4 Plumbing Work: Rough in plumbing for new toilet location per plan Rough in plumbing for new double bowl vanity area per plan Rough in plumbing for shower transfer valve Hook up fixtures as described below Excel Initials: ,j"VU F Client Initial~ Cfip-.. L Page 3 of9 SPECIFICATIONS EXCEL interior concepts & construction 570 South Third Street Lemoyne, P A 17043 Phone: (717) 774-4990 Fax: (717) 774-0592 Owner: Address: Brian and Lori Spiegel 61 Longview Drive Mechanicsburg, P A 17050 Date: Phone: 3/312006 home 979-9785 Lori work 805-4930 Brian 5 Plumbing Fixtures: Two (2) Sink Faucets: Kohler K-454-4S-G Memoirs Stately widespread lavatory faucet / Finish: Brushed Chrome Two (2) Sinks: Kohler K-2339-0 Memoirs undercounter lavatory / Color: White One (1) Toilet: Kohler K-3439-0 Memoirs Stately elongated toilet / Color: White One (1) Toilet Seat: Bemis, style and color to match above One (1) Toilet Trip Lever: Kohler K-9439-G / Finish: Brushed Chrome One (1) Shower Faucet Control Trim: Kohler K-T463-4S-G / Finish: Brushed Chrome One (1) Shower Control Valve: Kohler Rite Temp Pressure Balancing K-304-KS with stops One (1) Shower Head: Kohler K-444-G Memoirs multi-function showerhead / Finish: Brushed Chrome One (1) Shower Arm and Flange: Kohler K-7397-G 7-112" shower arm and flange I Finish: Brushed Chrome One (1) Handshower: Kohler K-419-G single function handshower / Finish: Brushed Chrome One (1) Handshower Hose: Kohler K-9514-G 60" hose / Finish: Brushed Chrome One (1) Wall Supply Elbow: Kohler K-9513-G / Finish: Brushed Chrome One (1) Adjustable Wall Bracket: Kohler K-9515-G / Finish: Brushed Chrome One (1) Transfer Valve Trim: Kohler Memoirs K-Tl0424-4S-G trim / Finish: Brushed Nickel One (1) Transfer Valve: Kohler K-672-K 3/4" three way transfer valve (will need to have reducer down to 112") One (1) Shower Drain: Brasstech #238 Buckeye shower drain with Brushed Chrome grid cover 6 HV AC: Vent exhaust fan to exterior (via attic access over bathroom) Note: Existing ceiling diffuser will remain unchanged I Excel Initials: v::;t/U F Client Initials:~ Cfffl Page 4 of9 SPECIFICA TIONS EXCEL interior concepts & construction 570 South Third Street Lemoyne, P A 17043 Phone: (717) 774-4990 Fax: (717) 774-0592 Owner: Address: Brian and Lori Spiegel 61 Longview Drive Mechanicsburg, P A 17050 Date: Phone: 3/3/2006 home 979-9785 Lori work 805-4930 Brian 7 Electrical Work: Service Upgrade/Subpanel: Not included in this proposal, but might be necessary. If deemed necessary, Owner will be responsible for the cost of upgrading the electrical. Run circuit feed for GFCI circuit Rough in double gang box on rear of knee wall per plan for heater and fan Reuse existing rough in box for vanity light switch Rough in new single gang box for GFCI outlet per plan Rough in boxes for vanity lights (new locations per plan) GFCI indoor outlets: ORe (l)Two (2') tfJr rtIlA Single pole switches: One (1) '1 JV~ Switch Style: Toggle Outlet 1 Switch 1 Plate Color: Ivory Note: Heat lamp switch and three rocker switch will be Decora style Hook up intures described below 8 Electrical Fixtures: Two (2) Hinkley Armory 5742BN 15-1I2"w x 8-1I2"h x 7" ext. with two 65 watt medium base bulb 1 Finish: Brushed Nickel One (1) Broan 161 heater lamp with one 250 watt clear BR40 infrared bulb One (1) Broan switch model #68V for 161 heat lamp (two function) 1 Color: Ivory One (1) Broan Humidity Sensing Fan 1 Light 1 Nightlight Model HS120L (with 100watt main light and 7watt nightlight) One (1) Broan switch model #77V for HS120L (3 rocker switches) 1 Color: Ivory Excel Initials: --1/'1./1 j::: Client Initials~ y;4; Page 5 of9 SPECIFICA TIONS EXCEL interior concepts & construction 570 South Third Street Lemoyne, P A 17043 Phone: (717) 774-4990 Fax: (717) 774-0592 Owner: Address: Brian and Lori Spiegel 61 Longview Drive Mechanicshurg, P A 17050 Date: Phone: 3/3/2006 home 979-9785 Lori work 805-4930 Brian 9 Drywall: Repair drywall as necessary due to tear out of shower wall Repair drywall as necessary due to tear out of closet walls Install drywall on outer side of new shower knee walls Family Room: Repair drywall on family room ceiling as needed 10 Trim/Carpenter Work: Interior Doors: Will remain unchanged Trim: Note: Existing entry door and window trim will remain unchanged Install new base trim described below in bathroom: Base Trim: WM713 9/16" x 3-114" Ranch solid pine Familv Room: Re-install crown moulding at ceiling around fireplace hrick surround 11 Cabinets: Install cabinetry described below per plan: Manufacturer: Bertch Cabinet Mfg. Line: Legacy Semi-Custom Cabinet MateriaIIWood Species: Cherry Finish: Stained (Rose) Base Door Style: Embassy Hardware: 86PW on doors and drawers Top Moulding: Furniture base with crown Excel Initials: __ /1/[ If::- Client Initials~ ctl12 Page 6 of 9 SPECIFICATIONS EXCEL interior concepts & construction 570 South Third Street Lemoyne, P A 17043 Phone: (717) 774-4990 Fax: (717) 774-0592 Owner: Address: Brian and Lori Spiegel 61 Longview Drive Mechanicsburg, PA 17050 Date: Phone: 3/3/2006 home 979-9785 Lori work 805-4930 Brian 12 Countertop: Install countertop, sbower seat, and knee wall cap described below in bathroom per plan: Material: Cambria Color: Carlisle Gray #2300 Edge profile: Square (eased) Backsplash: 3" high Sidesplash: Left side 3" high Faucet Centers: 8" (widespread) Note: Countertop will have a seam 10" in from the right side of the top and will be covered by the wall cabinet sitting on top of the countertop 13 Shower Wall Cover: Install ceramic tile described below per plan: Note: Ceramic tile on ceiling not included in this proposal Note: Install three recessed shelves in shower area per plan Tile Manufacturer: Florida Tile Style: Contessa Tile Size: 8" x 12" Tile Color: Royale Tile Pattern: Assumes a square pattern Grout Joint: Assumes an 1/8" wide grout joint Bullnose: S4289 2" x 8" Deco's: 18x12 8" x 12" deco shell 22915E Royale Deco Inserts: 12.7x2.7 2.7" x 2.7" 22915A Royale Chair Rail: MCR2x13 2" x 13" 22915C Royale Chair Rail Stops: MCRS2x1 2" xl" Royale Spectra Lock Grout Color: Laticrete #23 Antique White 100% Silicone Caulk Color: Laticrete #23 Antique White Underlayment: 112" x 36" x 60" Utilicrete cement board Excel Initials: ,AlL! P Client Initials: ~ Page 7 of9 SPECIFICATIONS EXCEL interior concepts & construction 570 South Third Street Lemoyne, P A 17043 Phone: (717) 774-4990 Fax: (717) 774-0592 Owner: Address: Brian and Lori Spiegel 61 Longview Drive Mechanicsburg, PA 17050 Date: Phone: 3/3/2006 home 979-9785 Lori work 805-4930 Brian Tile shower base: 3" x 3" mosaic tile over waterproof shower mud base Tile Manufacturer: Crossville Tile Style: Milestone Mosaics Tile Size: 3" x 3" Tile Color: A V92 Desert Stone Spectra Lock Grout Color: Laticrete #40 Latte 100% Silicone Caulk Color: Laticrete #40 Latte 14 Painting / Staining: Paint walls of bathroom with one (1) coat primer and coat (1) basecoat Paint ceiling of bathroom with one (1) coat primer and one (1) coat finish Duron Latex Paint or equivalent Faux Paint walls by Sophisticated Walls in bathroom only Stain new base trim with one (1) coat stain and two (2) coats clear polyurethane Note: Door, door trim, window, and window trim stain will remain unchanged (staining not included) Ceiling Color: White Ceiling Finish: Flat Wall Color: Wall Finish: Trim Stain Brand: Minwax Stain Color: Early American Family Room: NOT included in this proposal Note: Painting of Family Room ceiling, walls, or trim is not included in this proposal 15 Wallpaper: NOT included in this proposal Excel Initials:, ,,1)t It Client Initials: ~ f{1f: Page 8 of9 SPECIFICATIONS EXCEL interior concepts & construction 570 South Third Street Lemoyne, P A 17043 Phone: (717) 774-4990 Fax: (717) 774-0592 Owner: Address: Brian and Lori Spiegel 61 Longview Drive Mechanicsburg, PA 17050 Date: Phone: 3/312006 home 979-9785 Lori work 805-4930 Brian 16 Accessories: Manufacturer: Kohler Style: Memoirs Brushed Chrome 17" Towel Bar K-485-G: Three (3) Towel Ring K-487-G: One (1) Paper Holder K-490-G: One (1) Robe Hook K-492-G: One (1) 17 Grab Bars: NOT included in this proposal 18 Plate Glass Mirror: NOT included in this proposal Note: See "Cabinetry" section of this proposal for medicine cabinets 19 Shower Enclosure: One (1) 3/8" clear tempered glass shower enclosure installed with Satin (OlA) aluminum header bar, track, and hardware Note: Since a heavy glass or powdercoat frame enclosure is selected, it will not be installed until 4-6 weeks after substantial completion of the project due to requirements needed for measuring and the lead-time of product. Excel Initials:., /I;{,/F Client Initials:~ Cfw.) Page 9 of9 SPECIFICA TIONS EXCEL interior concepts & construction 570 South Third Street Lemoyne, P A 17043 Phone: (717) 774-4990 Fax: (717) 774-0592 Owner: Address: Brian and Lori Spiegel 61 Longview Drive Mechanicsburg, P A 17050 Date: Phone: 3/3/2006 home 979-9785 Lori work 805-4930 Brian 20 Flooring: Install ceramic tile described below per plan Tile Manufacturer: Florida Tile Style: Contessa Tile Size: 13" x 13" Tile Color: Royale Tile Pattern: Assumes a square pattern Grout Joint: Assumes a 3/16" wide grout joint Spectra Lock Grout Color: Laticrete #40 Latte 100% Silicone Caulk Color: Laticrete #40 Latte Threshold: Schluter metal transition / Style: Subtloor: 112" x 3' x 5' Cement board / Finish: Satin anodized aluminum 21 Clean up and haul away all debris "Fine" cleaning of jobsite by Owner Note: This contract does not include any additional work that might be required by local code officials. If additional work is required, Owner will be responsible for the cost of this additional work. ACCEPTANCE OF SPECIFICATIONS - The above specifications are satisfactory and are hereby accepted. You are authorized to do th as :r4;d. Pa ment 'Ii be made as outlined in the Construction Agreement. Signature: .'1'- Signature: Date: ~ ~.,-d ~ Excel Authorized Signature: I. /"'lAfrlj('/j l!i,ir:;\'ddn:~,)l/nl( } Angela Mir~ndo Fromm, Designer Excel Initials: Client InitiaIS:~ (~') *-~ . Excel Interior COI"ICElpte . construction 570 South Third Street INVOICE Lemoyne,PA 17043 Phone: (717) 774-4990 Fax: (717)774-0592 Submitted to: Brian and Lori Spiegel Date: 05/08/06 Address: 61 Longview Drive Phone: 979-9785 Lori Mechanicsburg, P A 17050 805-4930 Brian Date of Contract: 03/03/06 Original Contract Amount- Master Bathroom $28,978.00 Extra: Installed additional (fourth) recessed shower shelf $125.00 Clipper Coupon Discount ($250.00) Total $28,853.00 Payments Deposit 3/6/06 $8,693.40 Start of Job Payment 3/17/06 $14,489.00 Total $23,182.40 Balance Due at Completion $5,670.60 Thank you! EXCEL interior concgJts & construction ~ Since 1970 570 South Third Street Lemoyne, PA 17043 Phone (717) 774-4990 Fax (717) 774-0592 www.excelremodeling.com May 8, 2006 Brian and Lori Spiegel 61 Longview Drive Mechanicsburg, P A 17050 Dear Mr. and Mrs. Spiege~ Enclosed is the final invoice for the work we performed on your Master Bath at 61 Longview Drive, Mechanicsburg, PA, as per the Construction Agreement dated March 3, 2006 between you and EME Development Corporation DBA Excel Interior Concepts & Construction. You owe $5,670,60 to Excel Interior Concepts & Construction, since work was completed at your home last week. 1 do, Jr/ / / i j! L ~"Jd~ / ;;/1/0,6 ~ We Build Your Dreams Kitchens · Baths · Additions · Custom Homes <D . ru r'- :r ru r'I JI r'- V.S, Postal Service,,, CERTIFIED MAIL RECEIPT (DomestIc Mall Only, No Insurance Co verage Provided) . .. nEQlisli '" Gsl A l ""- $ O. 9 $2.~0 CeniflodFoe -"-.... _Requ,",,) -cl8dDelIvelyF.. (Endo_ Roqull9d) $1.85 $0.00 - ....1 I NEW CUMBERLAND PO NEW CUMBERLAND, Pennsylvania 170702163 4134870070-0096 05/0912006 (800)275-8777 10: 16:34 AM Sales Receipt Product Sale Unit Final Descrlptlon Qty Price Price MECHANICSBURG PA 17050 $0.39 First-Class 0,50 02, Return Rcpt (Green Card) $1.85 Certified $2.40 Label ~: 70051820000276124728 Customer Postage -$0.39 Subtol:a 1 : $4.25 ;:;;==;;:=:;;: Issue PVI: $4.25 Total: Paid by: Cash Change Due: $4.25 $5.00 -$0.75 Bill~: 1000401267991 Clerk: 09 -- All sales final on stamps and postage. Refunds for guaranteed services only. Thank you for your business, 0 ,..." c = 0 ~ = r ~ ~~~:- ~~ " f-;'C:';' :z: :r ;?; ::1:"" -<: ",:n ~ .. 'oM 0"\ :00 (')- 1 "'" J:. "'" ;'~~B .;:,. g ::;;; J:> "7C> [:::;m -t> '" .. .-1 -J. ~ C) "" -"'- t -.l ~ % ~ 1!l~-!2~~~LC!j?~t}fJf___r;-f2~f~_1lJjA EXJ~Ljl}t~!I~CuGf}r::~ff5._t_ (!z!l~tr~~h' /) --- rJ,f~ In the Court of Common 'Pleas of Cumberland County, Pennsylvania VS. 12clq!1_k___~IJ_cL __kriA-,_ --5.f?1-~r_~L-- ------------------------------------------~~fT----- r Judgment in favor of Plaintiff on ___uu______________ -__uuu___uu_uu____u__u_ for $_$k10... ~ No. uQ~u _1'J13-__J:~~PTerm, ~__!::Q 0 b Entered -5j.lb-l~9JH~u_u____uuu_ 19u__u ' ,_ _~1!1~ __/2fL~fk I-~t ~t1 t__CQ(P__ -- --- ------ -- ---- -------- ------ _____ ___________ Plaintiff in the above Judgment, do apPjar and acknowledge that Me{ 'f 30 ) 2_00,6 this day have had and received and from _ .8 t:l M __15._ _-I~ _ _ Y! r: L --A- ---3j2! ij_~j__ _ u___ _u_ ___ __u_ __ _____ ____ ___ _ _ ______ ____ the defendant in the above Judgm!:nt, full payment and ~aisfaction of the sar.le, with interest and costs, and desired that satisfaction therefore shall be entered upon the records thereof. And further, do hereby authorize and empower___Cu...r.:n_$..___e.7Z.___l.Qf1~---u-------------- __u________________ theProthonotary of said Court, to appear --tQr___t!l~______________u______________ and in Vf\ ~ name an::tead to enter full satisfaction upon the record of said Judgment, as fully and effectually, to all intents and purposes, as .l- could were r personally present in person to do so. And for so doing this shall be your sufficient warrant of authority. - In testimony whereof, L have hereunto set our hands and seals this day of _JJ.I..,tJ_e._____________u__u_______________, A.D ~ .1~ ------------------------------------- State of Pennsylvania County of Cumberland, Personally appeared before me, the subscriber, -----lJ1-":~~---u~-\:~-:{QJ(f.,..-e!.:.:-~h~-__u_~t_______u____ Ef'\~ Vc:.Jelot.>r-.t (vrp, .---------------------t-------------------------------.---------------------________________________________ } ( Seal) ( Seal) -------------------------- (Seal) .---------------------------------------------------------------------------------------------------------- .---------------------------------------------------------------------------------------- the PI~ntiff 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 h \ S act and deed, and desired that t11':: same shall be filed of' ecord in the office of the Prothon- In testimony whereof, I have hereunto set my hand and seal this _____uu .}" r-< day of _________ --u...,.______u___________n_ A. 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