NYC 9/11 Public Portal Document
MAR-06-2002 G9:51 WELLBILT EQUIPT'CORP 516 791 0400 P.03/03
ii
OFFICE WAPEHOU,
265 Wilson Avenue 338 Moffat S'tr'eet
Wettbury, lHY 11590 Brooklyn, NY 11237
(516) 338-9800 (718) 428-4900
P)L 339' W' o
RESTORATION
CERTIFIATE OF COMPLETION/
DIRECTION TO PAY
RE /.3 2k 6 A 4L
/,4 Gobi y'
THE UNDERSIGNED, RAVING AUTHORIZED ALL CITY
CONTRACTING & CLEANING, INC. TO PERFORM CLEANING, SOOT
REMOVAL, WATER EXTRACTION, REMOVAL OF FURNITURE, DEBRX
REMOVAL ANDIOR REPAIRS AT THE ABOVE CAPTIONED LOCATION
ACKNOWLEDGED THAT THE SERVICES PERFORMED BY ALL CITY
CONTRACTING & CLEANING, INC. HAVE BEEN COMPLETED.
SAID UNDERSIGNED AUTHORIZES THE INSURANCE COMPANY
COVERING THE ABOVE CAPTIONED PREMISES TO MAKE PAYMENT
DIRECTLY TO ALL CITY CONTRACTING & CLEANING INC.
IF INSURANCE COMPANY MAKES PAYMENT TO INSURED THEY
WILL MAKE PAYMENT TO ALL CITY WITHIN 7 DAYS OF RECEIVING
PAYMENT.
Any persons who b owingly and with intent to de d any insurance company or other person files an
apptivaciOn for irs~rancc of srateinestt of ela,tot conrai.ntng any metefally false information, or uoaceais for
the purpose of lending infotmalion concerning any fact matariai tbcrezO, eomtuils a fraudulent
insurance act, which is a crime, and sMU also be subject to a civil penalty nor to a coed five thousand
dollars and the stated value of the claim for eacb such violation.
TOTAL P.03
NYC-WTC 000098111
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