HomeMy WebLinkAbout20170417 Hardisty-Sfx3 AdvancePayRecpt1 1958591File No. 1958591 — Suffix 3
This is to acknowledge receipt of $1,000.00 paid to Megan Hardisty, 1311 Fredericks
Street, San Luis Obispo, CA 93405 on behalf of the City of San Luis Obispo, California.
This payment represents credit against the total amount of any final settlement or
judgment in your favor for damages resulting from a water main rupture that occurred
on March 17, 2017 that affected the residential property at 1311 Fredericks Street, San
Luis Obispo, California 93405.
Date
Witne;, Signatu
Please Print Name
Address
City, Stale, Zip Corse
This Advance Payment Covers The Following:
Clai ant — Megan Hardisty
Description_
Claim Am't
Fluid Mechanics Textbook
$ 241.02
Shigley's Engineering D.esig_n Textbook
Dynamics Textbook
$ 229.82
$ 219.33
Electrical Engineering Fundamentals Textbook
$ 119.82
Other Out -of -Pocket Expense
$ 190.01
Total Advance Payment
L $ 1,000.00
Ara Bnn 1,? I
ICA
�E, €��.��,� �,.�,�"�-:��p �.��" E ..€$lt:�'?,a s>i,�ti�. � �✓�,.,r`".�€�,:i � �c� do t.�4'saz 1.,:.r�"� �€ 1,,3.'i I 'J�h�a��i�''J,ti aly"�3{d:.'f<<('a:3��s�