HomeMy WebLinkAbout20170906 Hardisty-Sfx1 ReceiptForAdvancePayment3 1958591CARL V~'ARIiI;N &COMPANY
RECEIPT FOR ADVANCE PAYMENT
(THIS IS NOT A RELEASE)
File No. 1958591 —Suffix 1
This is to acknowledge receipt of a third advance payment totaling $4,976.90 paid to
David and Jamie Hardisty, 219 Seaview Avenue, Pismo Beach, CA 93449 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. NOTE: To date
two prior advance payments totaling $5,108.02 & $941.20 have been made thus far
concerning your claim.
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Date
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Witness Signature
Please Print Nam
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Address
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City. State. Zip Code
C a'mant — amie Hardisty
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Claimant —David Hardisty
This Advance Payment Covers The Following:
Descri tion Claim Am't
Fence &Lattice Re lacement —Bid Item $ 2,625.70
Meathead Mini Stora e — Recei t #65402 $ 445.60
Meathead Mini Stora e — Recei t #66426 $ 445.60
Landsca e Re air —Per 6/7/17 Email from David Hardist $ 1,300.00
Gara e Dr Out & Cleanin -Per 6/7/17 Email from David Hardist $ 160.00
Total Advance Pa ment $ 4,976.90
~~n Employee-Uw~~e~ Corrspa~ ~y
P. 0. Box 2 #11 ~ Tustin, CA 92781
I~el: 800-444-8714 ~ Direct: 805-544-7963 I Fax: 866-254-4423 I ~vww.carlwarren.com
CA License No: 2607296