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HomeMy WebLinkAbout1983 . 'PO rn~ m N IN C~p a - F G c b ~P Q "n I1 A 1 l Ui ~i CITY of DENTON, TEXAS mUJ' C1PAL SUILD046 DEN TON, TEXAS 76201 TELEPHONE (8171 M6-8200 March 31, 1983 CBS Mechanical Highway 380 Denton, TX 76201 Dear Mr. Cowart: The 8" water line improvements for Frank's Mean Green Gas Station have been inspected and approved by City of Denton Engineering personnel. Plans are from Schoell & Fields. As-built drawings and a maintenance bond have been received and approved. The improvements are hereby accepted with City of Denton maintenance beginning August 21, 1982. If you have any questions, please call. Sincerely, rr Jel~fk, EIT Senior Civil Engineer JC:jd DEPARTMENT OF PUBLIC WORKS CBS MECHANICAL, INC. e K HEATING & AIR CONDITIONING & PLUMBING CONTRACTING - REPAIRING ROUTE 1, Box lea OFNTON. TEXAS 76201 1817! 3877568 APPLICATION FOR PAYMENT TO: a INVOICE NO. r JOB NO. t , REQUEST NO. - - WORK: r PROJECT: _ 1 . ' s . PERIOD TO r 1 '1 STATEMENT OF CONTRACT ACCOUNT- 1, 01 igin31 Con:r,u I At;),) :nf $ t r ' = _(As per . r-r di lac lied breakdown) (Net) $ 2. Apprnr«d Ch..uge Urrlcr N, i• L, 3. Adjusted Contract Anlc wi: $ '4, VraIii- ill Work Cillrvi,,Ip-d In 1T.~1 j i'r ,rit6.-I iEj breakdown( 1 $ i 5. Value of Ah~nnvcd Chur~y~ C~~ ra ~r~:nprlrte~l (As fit r 31tached breakdown) 6. Materials Stored of )ITS 1.c, In;r al I,ICh~ r! hreaLdownl ~ on $ --~-c 7. fup,rlu Dole .~csatPtt I 8. Less Arnount Reta ilia VXX W • ! 1. 9. Tot.11 Less Retainaq' 10. Towl Previously Ct`rt~li,A (Uurlii(l) $ err 11. AMOUNT DUE l fIIS HEOUf Sl 12. - 13. - CERTIFICATE OF THE SUBCONTRACTOR: I hereby certify tho the work Pei formed and the materials %ioPPIlad to date, as shown on the above represent the actual value of accomplish rlren; yrsder Y,e I tins car the Contract land all authorized changes thereto) between the under;+gne and c i 1]_ relating to the above referenced pwjea I also Bert fy that pdynienls, less aPPlicabfe retention, have been made thrni_"h eh. .{pd cc;,;cd ~y E Fr; iua Wyments received by tire contractor, to I I I dI I my subs on t r a CIO?s (sub-contractors) and for all materials and labor used in co( in connection wit to the perlorrnanceof 1hisCortract. I further cetirty I have complied with Federal. State and local tax taws, including Social Securrly laws and Unemployment Compensation paws and Workmen's Compensation laws insofar as applicable to the performance of this contract, Oats C. B. S. MECHANICAL, INC. SUBCONTRACTOR uburibed and sword before me this _day of 19 BY: lotary Public fautharized signature) r Ay l ommistion Expires: TITLE:- I I 1 `