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DATB 11/25/97 ADJUET~ 02911 C~AWF~i~'m $ 07028-000010499 CPRC CLAIM $605302 01 Consumer Plumbing Recovery Center. (CPRC) 'h~by assigns the followin~ proper=y: O~er: WILLI~ RIC~~'~ Home Telephone 749-2430 Address: 11555 J~S WAY DR~ SO~T~-~ Other Telephone:(S03) 947-1568 A~SVI~, Mobile Home Park or S~division to be replied by ~E PLYING ~ION-~ ~ (Contractor) with the following ~terial: X C~C COPPER o~her a~r( ~d system. ~f~e: for which CPRC will pay $ 1,950.00 ~r ~h~ ~e~ ~d condi~ions of the Pluming Const~ction Contract Nu~er of fixtures in ho~:9.0 X MOBILE HO~: S~le OR -- -- MOD~ H~: ~:~ ~_ DoYle Triple OR __ SITE-BUILT H~ ~e Sto~ ~ti-Sto~ (1) Contractor verifies t~t origin1 plu~ system was no~ polybutylene and that no work was done. (initial here ~d si~ below) -OR- Initial ~2) Contractor verifies =~t ori$i~l pl~ syste~ was polybutylene, that the rep%~ as.been completed in ful% co~ll~ce with t~ ~ve-referenced conUrac=, that all bxlls and cla~ for ~ter~als f~Lshed and l~or perfo~d ~der said contract ~ve ~en paid by Contractor, and t~t there are no outst~i~ ~paid bills or legal Claims, whether or not due or asserted, for any ~terials fu~ished orla~r perfo~ed pursuit to or in co~ection with this Work Order. (3) Contractor verifies that Contractor's warranty containin~ Contractor's name, address ~d phone n~er ~ve been conveyed to the o~er together with~y applic~le manufacturers extended material warranty. (4) Contractor certifies t~t there was sq. ft. in insulation/vapor barrier repair be~nd the 250 sq. ft. of ~istin~ ~e ~d access re, ir da~ge allowed for in the a~reed price. Contractor further certifies t~t all exist~ ~ge repaired was the direct resul~ of ~st PB system leaks. ~sed on the agreed price of ~¢ per sq. ft., Contractor re,sets a supplemen~ pa~ent of $ in a~iti~ to the ~se price indicated ~ove. (5) The co~t of ~n~. inser~ fi~i~s recovered fr~ the ~ove property is as follows: (~ not co~t plastic or ~al vales, pl~lc Plastic Qest (Q) Vanguard (SG)-Grey Admiral Marine (A/I) Contraotor is re~u~rsd to provide Crswford and Company all insert f~ttings r----red during the co~se of ~e rm~l~. At ~{~,~: Contractor ~st r~e ~d provide 8 insert fittings for ~le Wesflex (W) Wrightway (white) Bow (Bow) All insert fittings must bo counted l~ brand and the COunt must be a~urats. Ro£Oz to tho d~agroms P~ovided w~th you~ oontrsct and ~ Repair Progranm ~s~ for dota~lsd inst~u~t~ons. Unidentified plastic insert Metal Copper and Brass insert Total CPRC\WRKORD\$U September 4, 1996 Effective 1/1/97 CON'~'.ACTOR: