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: 4/8/2002
Frank McIntyre Market: Risk Services
World Trade Center Order Date: 4/5/2002 PO Number:
Contact: Priority: 1 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: 0204116
Media-T/'v Description Number First Analyte Additional Second % K l Subf"' Total
df Price Analytes Discount Total Cost
--O'- Samples . Price
5u PVC Filter Total Dust 2 $18.00 0 $0.00 15.00% $36.00 $30.60
5u PVC Filter 20 Metal Scan 2 $150.00 0 $0.00 15,00% $300.00 $255.00
Analysis Subtotal: $336.00
Priority Surcharge: $336.00
Shipping: $0.00
Other: $0.00
Submit payment to:
Liberty Mutual Insurance Company Order Subtotal: $672.00
P.O. 80x1525
Dover, NH 03801 Discount Amount: $100.80
Attn: Customer Accounting Services
TOTAL: $571.20
CONFIDENTIAL INSURANCE INFORMATION, CITY_2IMClUU_UU2189182
SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008
NYC-WTC_000178305
OCR can misread numbers and units. Confirm readings against the page image before using them.