Invoice from contractor to DEP for environmental services

NYC 9/11 Public Portal Document

BENJAMN KURZBAN _ FE & SONON CC I~ITOLD INC. 1248 jaI Ave. aft I1 ~V/ 1 1] BROOKLY , Y. 11236 1215

(718) `. 2900 DATE ORDER NO.

TO Dept of Environmental Protection

59-17 Junction Blvd

Corona, NY 11368

.;- ~Y. r . .. . FQiB' OI$fl -a: TERMS Fy •_~'.:',R':,qw .. {lit+, .. _' _:

. . _._, t . . _ > :QBCRIFim'ION- _~..... «;.r~•._a.: ~.,.,.—.. __ . . - UNIT eJ'

Registration # CT 82620020015280

Pin# 82602WTCROOF2

For additional work (ACP-8) completed at

9-11 Maiden Lane

10,800 SF @ 2/sf

Total Amount due this Invoice _~ __.._..........................._._ _._._.._..... ................._..._.__._..._..._.._......._..._.......... $21 , 600 00 ...... _.....

ORIGINAL G ~ 1~ D ~v ( ~YI tlw OL-I& ' i F

Shift from: U am U pm to u am u pm If UUIeI, aWcuuy ~•v 25. Additional asbestos-containing material to be disturbed during this work 1O,8(X) Square Feet, and/or o Linear Feet

Reduction in the amount of ACM to be disturbed during this work Square Feet, and/or Linear Feet

29. Abatement Procedure for Additional Material (Check alt appropriate boxes) ❑ Full Containment ❑ Glovebag ❑ Tent 0 DEP Variance Application

Other Changes

30. Locations of abatement modified by above (For each floor list ACM quantity and type)

31132. Name of Applicant / Owner Tel. #

Name of Company (If any) Fax #

Address City State Zip

I hereby declare that the information provided herein is true and complete. 1 NYC aEp I O I 16 1O2 Signature of Applicant /Owner Date tau era " ~ room

NYC-WTC 000101848