Claim by Top Block & Brick, Inc.NOTICE OF CLAIM
TO: THE CITY OF DUBUQUE, IOWA
c/o City Clerk
City Hall
50 West 13th Street
Dubuque, IA 52001
Project: Dubuque Wastewater Treatment Plant
795 Julien Dubuque Drive
Dubuque, Iowa 52003
You are hereby notified, pursuant to Section 573.7, Code of Iowa, that the undersigned
hereby makes a claim for money due for materials supplied and /or to be supplied for the above
project and states:
1. That Top Block & Brick, Inc., the material provider herein, has supplied materials
for the above - described project. That at this time there is the sum of $53,565.89 unpaid.
2. That Top Block & Brick, Inc., is in the process of providing additional materials
for said project at the cost of $10,431.61.
3. That Top Block & Brick, Inc., hereby makes a claim totaling $63,997.50 in this
matter and requests its interest be protected as provided by law.
4. That this claim will be duly released upon full paymen
Dated this 9th day of October 2012.
STATE OF IOWA )
) ss:
DUBUQUE COUNTY )
Marc Hess, Manager
Top Block & Brick, Inc.
Subscribed and sworn to before me a Notary Public of Iowa on October 9, 2012, by Marc
Hess, known to be the manager of Top Block & Brick c. and autho.ized to act on its behalf
herein.
cc: Barry Lindahl, City Attorney
300 Main St. Ste. 330
Dubuque, IA 52001
Marc Hess
Notary Public, State of wa
L AD .
P Commission Numbwr 71192
My Commission ' s
4s� August 9, 20
VVl V✓ I L. I V.V I Q
Top Block and Brick
84 Frentress Lake Rd.
East Dubuque IL 61025
(815) 747 -3159 Ext. 0000
I VI ULVVI \l1IV 1-"VI XIVI\
STATEMENT
MONONA MASONRY INC
4290 HOEPKER ROAD
MADISON WI 53704
"Please return this portion with your payment^
Iv I VIT /v IV./
N•�
Date:
10/9/2012
Account:
C31305
Amount Paid:. •
Credit Limit: Unlimited
Finance Charge APR: 18.00%
Deposits Received:
$0.00
Docurnent No. -
Date',. ,
.Code
Descriptioli':.::1' :
Amount i. .
Balance .
3193730
5/11/2012
SLS
3193730
22;409.75
$2,409.75
PYMNT000000042298
9/21/2012
PMT
Applied: 3193730
(52,211.52)
$198.23
3193835
5/15/2012
SLS
3193835
23,748.50
$3,946.73
3194119
5/19/2012
SLS
3194119
$525.00
$4,471.73
3194147
5/22/2012
SLS
3194147
$3,748.50
$8,220.23
3194882
6/11/2012
SLS
3194882
$3,748.50
$11,968.73
3195095
6/14/2012
SLS
3195095
$3,748.50
$15,717.23
3195182
6/18/2012
SLS
3195182
$107.50
$15,824.73
3195398
6/25/2012
SLS
3195398
$4,016.25
$19,840.98
3195656
7/2/2012
SLS
3195656
$3,060.00
222,900.98
3195796
7/9/2012
SLS
3195796
$3,570.00
$26,470.98
3195820
7/10/2012
SLS
3195820
$1,338.75
$27,809.73
3195895
7/12/2012
SLS
3195895
$4,016.25
$31,825.98
3196237
7/24/2012
SLS
3196237
$4,016.25
$35,842.23
3196256
7/24/2012
SLS
3196256
$114.00
$35,956.23
3196343
7/27/2012
SLS
3196343
$3,694,95
$39,651.18
3196499
8/2/2012
SLS
3196499
$2,490.50
242;141.68
3197407
8/30/2012
SLS
3197407
$3,612.75
$45,754.43
3197872
9/17/2012
SLS
3197872
$3,831.00
249,585.43
3197884
9/17/2012
RTN
3197884
(5165.00)
249,420.43
3198287
10/1/2012
SLS
3198287
$963.75
850 384.18
3198534
10/8/2012
SLS
3198534
$141.76
C 250:525.94
FCHRG000000003582
5/31/2011
FIN
May 2011 Finance Charge
$59.24
$50.595.18
FCHRG000000003629
6/30/2011
FIN
June 2011 Finance Charge
$45.82
$50,641.00
FCHRGD00000003669
7/30/2011
FIN
July 2011 Fir.ance Charge
$45.82
$50,686.82
FCHRG000000003752
9/30/2011
FIN
Sep. 2011 Finance Charge
$116.52
$50,803.34
Codes:
SLS = Sales i Invoices
SCH = Scheduled Payments
DR = Debit Memos
"'*CONTINUED* "
FIN = Finance Charges
SVC = Service / Repairs
WRN = Warranties
CR = Credit Memos
RTN = Returns
PMT = Payments
STATEMENT
Top Block and Brick
84 Frentress Lake Rd.
East Dubuque IL 61025
(815) 747 -3159 Ext. 0000
MONONA MASONRY INC
Date:
10/9/2012
Account:
C31305
Page:
2
Document No, • •:
Date •
Code` .
Description
Amount,
Balance '
FCHRG000000003792
10/31/2011
FIN
Oct. 2011 Finance Charge
$130.34
350,933.68
FCHRG000000003833
11/30/2011
FIN
Nov. 2011 Finance Charge
$38.77
$50,972.45
FCHRG000000003869
12/30/2011
FIN
Dec. 2011 Finance Charge
$123.27
351,095.72
FCHRG000000003899
1/31/2012
FIN
Jan. 2012 Finance Charge
$43.29
351,139.01
FCHRG000000003927
2/29/2012
FIN
Feb.2012 Finance Charge
$31.24
$51,170,25
FCHRG000000003951
3/3112012
FIN
Mar. 2012 Finance Charge
$19.58
351,189.83
FCHRG000000003986
4/30/2012
FIN
Apr. 2012 Finance Charge
3182.11
351,371.94
FCHRG000000004030
5/31/2012
FIN
May 2012 Finance Charge
$96.80
351,468.74
FCHRG000000004077
6/30/2012
FIN
June 2012 Finance Charge
3338.44
351,807.18
FCHRG000000004123
7/30/2012
FIN
July 2012 Finance Charge
$415.95
352,223.13
FCHRG0D0000004161
8/31/2012
FIN
Aug. 2012 Finance Charge
3713,11
S52,936.24
FCHRG000000004203
9/29/2012
FIN
Sep. 2012 Finance Charge
3629.65
$53,565.89
Amount Due:
$53,565.89
Current 31 - 60 Days 61 - 90 Days 91 and Qver
$9,727.02 32,490.50 320,226.15 $21,122.22
30,00 30.00 $0.00
Codes: SLS = Sales / Invoices
SCH = Scheduled Payments
DR = Deb.t Memos
FIN = F nance Charges
SVC = Service / Repairs
WRN = Warranties
CR = Credit Memos
RTN = Returns
PMT = Payments
'op Block and Brick
4 Frentress Lake Rd.
:ast Dubuque IL 61025
Bill To:
Monona Masonry Inc
4290 Hoepker Road
Madison WI 53704
N.
Quote
100792
Date
10/1/2012
Page
1
Monona Masonry Inc
City Of Dubuque Water Plant
Dubuque IA
Purchase Order No.
Customer ID
.Salesperson ID
Shipping Method •
Payment Terms Reg Ship Date
Master No.
C31305
JOYCE
DELIVERY
Net 30 Days 0/0/0000
75,545
Quantity
Item Number
Description
UOM
Discount
Unit'Price
Ext: Price
20
C0411
4x8x8 Corner Half
Yard
$0.00
$0.61
512.20
675
C0801 -2
8x8x16 Regular
Yard
$0.00
$1.07
$722.25
32
C0812
8x8x8 Corner Sash Half
Yard
$0.00
$0.84
$26.88
26
C0821 -CA
8x8x16 California Bond Beam
Yard
S0.00
$1.22
$31.72
75
C0823 -KO
8x8x16 Horse Collar KO New
Yard
50.00
$1.22
$91,50
40
C0806 -1
8x8x16 Single BN Corner
Yard
$0.00
$1.22
$48.80
40
C0814 -1
8x8x8 Single BN Half
Yard
$0.00
$0.99
$39.60
32
C0803
8x8x16 Corner Sash
Yard
$0.00
$1.22
$39.04
530
C1201 -2
12x8x16 Regular
Yard
$0.00
$1.40
$742.00
36
C1203
12x8x16 Corner Sash
Yard
$0.00
$1.55
$55.80
36
C1212
12x8x8 Corner Sash Hal(
Yard
$0.00
$1.17
$42.12
25
C1221
12x8x16 Lintel Bond Beam
Yard
$0.00
$1.55
$38.75
14
C1221 -CA
12x8x16 Califomia Bond Beam
Yard
$0.00
$1.55
$21,70
14,175
BRD -2400
Princess Royal Modular
Each
$0.00
$0.51
$7,229.25
1,000
DUR -1490
8" Std Hot Dip Ladur -Eye 2 "Ins
Foot
$0.00
$0.56
$560.00
500
DUR -1500
12 "Std Hot Dip Ladur -Eye 2 "Ins
Foot
$0.00
$0.65
S325.00
27
M1060
Pallets
Each
$0.000
$15.000
5405.00
Subtotal : •
$10,431.61
Misc
$0.00
Tax •
$0.00
Freight
$0.00
Trade Discount
$0.00
Total
$10,431.61