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. , <br /> DuAll Service Contractors <br /> 636 39th Avenue Northeast ���c �''� ',� ':` '-'`'" � <br /> Columbia Fleights MN 55421 ��,� �,����'`,� �����'�; <br /> phone: (763}7�8-9411 <br /> fax: (763)788-8007 <br /> www.duallservices.com <br /> 10/27/2004 <br /> Estimate: 102104-00001 Claim Number: 23-L232-388 <br /> Insured: WOJCIESZAK,JOY Policy Number: 23-KA-3256-9 <br /> Property: 3515 6TH AVE N Type of I,oss: Fire <br /> ORONO,MN 55356-9658 Deductible: $ 1,000.00 <br /> Fax: (952)476-2382 Price List: MNMNSF4D1 <br /> Cellular: (727)687-1554 Restoration/Service/Remodel <br /> with Service Charges Broken <br /> Out <br /> Date of I,oss: 10/17/2004 <br /> Date Inspected: 10/18/2004 <br /> Summary for Fire <br /> Line Item Total 13,341.75 <br /> Material Sales Tax @ 7.000% x 4,275.43 299.28 <br /> Replacement Cost Value 13,641.03 <br /> Overhead @ 10.0% x 13,641.03 1,364.10 <br /> Profit @ 10.0% x 13,641.03 1,364.10 <br /> Replacement Cost Value(Including Overhead and Profit) 16,369.23 <br /> Less Deductible (1,000.00) <br /> Net Payment $15,369.23 <br /> r �L. <br /> John ,Mellissa � <br /> (763)788-9411 Ext:221 <br /> ALL AMOUNTS PAYABLE ARE SUBJECT TO THE TERMS, CONDITIONS AND <br /> LIMITS OF YOUR POLICY. <br /> A wood burning fireplace caught fire. The fire bumed behind the wall board causing damage to the fireplace,wall,insulation, <br /> ceilings as well as general smoke damage throughout the home. for some tune before being discovered. <br /> This estimate is a working estimate and may change as damage is discovered and work is performed. <br /> ���`�`� ��� ��$�1�,p 1 <br /> ���1_L:'ir�i�.A ..L'?�..,�;, �.._Ci1�'� i':l�'�.��C_11'r <br /> ^ ',`_ <br /> ��.a�rcTo�--� _��_._...._.-------- <br /> �ATe'__—L—o_�?__� -,._. , ., ,_ <br /> ___-- . ._ ,.... <br /> �• ... -- <br /> � � �'�' . -- ----- _ <br /> ,;�' �i <br /> L' , . �;_ �;', , ._ _. . . . :=�1 <br /> i .. . . � , - . ,, -.;? <br /> ►;:,t ,. _ _ �,� rb:�r3 <br /> i�l .` . .. .,�. . �-, . . r _�..a : �;i+l�^w <br /> (1.:1 . . �� . ._ . . . . . . � , ... �c'.'it'�'!. <br /> N�:��t'�ftii� F;LP,iy Sc r U;: ':'S'i�!�i l�LL Tih�iC"S <br />