NYC 9/11 Public Portal Document
Industrial Hygiene Laboratory
LIBERTY 71 Frankland Road Hopkinton, MA. 01748
MUTUAL- Phone: (800) 230-6263 Fax: (508) 435-3575
Invoice Date: 5/6/2002
Frank McIntyre Market: Risk Services
World Trade Center Order Date: 5/2Z2OO2 PO Number:
Contact: Priority: 2 Days
Willis of New York, Inc.
Project ID:
7 Hanover Square
Project Number:
Project Name:
Project Location:
New York, NY 10004
Phone Number: Fax Number:
Survey Site:
Shipping Method:
Order ID: 0205030
Media Description iluinber First Analyte Additional Second Sub Total
of Price Analytes Analyte Discount Total ■:3/Gost;
Sarnples Price
5u PVC Filter Respirable Dust 3 $18.00 0 $0.00 15.00% $54.00 $45.90
5u PVC Filter Quartz 3 $65.00 0 $0.00 15.00% $195.00 $165.75
Analysis Subtotal: $249.00
Priority Surcharge: $186.75
Shipping: $0.00
Other: $0.00
Submit payment to:
Liberty Mutual Insurance Company
Order Subtotal: $435.75
P.O. Box 1525
Dover, NH 03801
Discount Amount: $65.36
Attn; Customer Accounting Services
TOTAL: $370.39
CONFIDENTIAL INSURANCE INFORMATION, CITY_21MC100_002189134
SUBJECT TO RROTECTIVE ORDER NO. 2, SERT. 2008
NYC-WTC_000178286
OCR can misread numbers and units. Confirm readings against the page image before using them.