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: 4/18/2002
Frank McIntyre Market: Risk Services
World Trade Center Order Date: 4/1272002 PO Number:
Contact: Priority: 5 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: 0204300
Media . Description Number First Analyte Additional Second % Sub Total
Price Analytes Analyte Discount Total Cost
Samples Price
5u PVC Filter Total Dust 4 $18.00 0 $0.00 15.00% $72.00 $61.20
5u PVC Filter 20 Metal Scan 4 $150.00 0 $0.00 15.00% $600.00 $510.00
Analysis Subtotal: $672.00
Priority Surcharge: $0.00
Shipping: $0.00
other: $0.00
Submit payment to:
Liberty Mutual Insurance Company
Order Subtotal: $672.00
P.O. Box 1525
Dover. NH 03801
Discount Amount: $100.80
Attn: Customer Accounting Services
TOTAL: $571.20
CONFIDENTIAL INSURANCE INFORMATION, CITY_21MC100_002189163
SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008
NYC-WTC_000178296
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