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New York Central Mutual
1899 Central Plaza East Edmeston, NY 13335 1-888-234-6926 www.nycm.com Insured: Property: Donald and Joanne Dellebovi 4 Tanglewild Pl Chappaqua, NY 10514 Jude Smith 1022 Saint Peter Street #204 New Orleans, LA 70116 Jude Smith 1022 Saint Peter Street #204 New Orleans, LA 70116 Policy Number: 4383338 Type of Loss: <NONE> Cellular: (914) 238-5596

Claim Rep.: Business:

Business: Cellular: E-mail: Business: E-mail:

(504) 237-5833 (504) 237-5833 sharpMLS@Gmail.com (504) 237-5833 sharpMLS@Gmail.com

Estimator: Business:

Claim Number: 2011-013035-0 Date Contacted: Date of Loss: Date Inspected: Price List: Estimate: 9/21/2011 8/28/2011

Date Received: Date Entered:

9/13/2011 9/26/2011

NYWP7X_SEP11 Restoration/Service/Remodel 013035-0_DELLEBOVI

This is a repair estimate. The insurance policy may contain provisions that will reduce any payment that might be made. Receipt of a copy of this estimate is not to be interpreted as an acceptance of liability. All estimate figures are subject to company review and approval. This is not an authorization to repair or authorize or guarantee payment. The insurer assumes no responsibility for the quality of the repairs that might be made. A copy of this document does not constitute a settlement of this claim. The above figures are subject to the insurance company approval.

2

New York Central Mutual
1899 Central Plaza East Edmeston, NY 13335 1-888-234-6926 www.nycm.com 013035-0_DELLEBOVI 013035-0_DELLEBOVI DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV

Scheduledd appointment with insured 9/22/2011, went to property to inspect, and took exterior photos. Insured informs me he no longer wants to file a claim because damages well under deductible Total: 013035-0_DELLEBOVI 0.00 0.00 0.00

013035-0_DELLEBOVI

9/27/2011

Page: 2

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New York Central Mutual
1899 Central Plaza East Edmeston, NY 13335 1-888-234-6926 www.nycm.com

Recap by Room
Estimate: 013035-0_DELLEBOVI

Total

0.00

100.00%

013035-0_DELLEBOVI

9/27/2011

Page: 3

4

New York Central Mutual
1899 Central Plaza East Edmeston, NY 13335 1-888-234-6926 www.nycm.com

Recap by Category Items
Subtotal

Total
0.00

%
0.00%

013035-0_DELLEBOVI

9/27/2011

Page: 4

5

New York Central Mutual
1899 Central Plaza East Edmeston, NY 13335 1-888-234-6926 www.nycm.com 1 4 Tanglewild Pl, Cha Date Taken: 8/22/2011 Taken By: Jude Smith
Scheduledd appointment with insured 9/22/2011, went to property to inspect, and took exterior photos. Insured informs me he no longer wants to file a claim because damages well under deductible

2

4 Tanglewild Pl, Cha Date Taken: 8/22/2011 Taken By: Jude Smith
Scheduledd appointment with insured 9/22/2011, went to property to inspect, and took exterior photos. Insured informs me he no longer wants to file a claim because damages well under deductible

013035-0_DELLEBOVI

9/27/2011

Page: 5

6

New York Central Mutual
1899 Central Plaza East Edmeston, NY 13335 1-888-234-6926 www.nycm.com 3 4 Tanglewild Pl, Cha Date Taken: 8/22/2011 Taken By: Jude Smith
Scheduledd appointment with insured 9/22/2011, went to property to inspect, and took exterior photos. Insured informs me he no longer wants to file a claim because damages well under deductible

4

4 Tanglewild Pl, Cha Date Taken: 8/22/2011 Taken By: Jude Smith
Scheduledd appointment with insured 9/22/2011, went to property to inspect, and took exterior photos. Insured informs me he no longer wants to file a claim because damages well under deductible

013035-0_DELLEBOVI

9/27/2011

Page: 6

7

New York Central Mutual
1899 Central Plaza East Edmeston, NY 13335 1-888-234-6926 www.nycm.com 5 4 Tanglewild Pl, Cha Date Taken: 8/22/2011 Taken By: Jude Smith
Scheduledd appointment with insured 9/22/2011, went to property to inspect, and took exterior photos. Insured informs me he no longer wants to file a claim because damages well under deductible

013035-0_DELLEBOVI

9/27/2011

Page: 7

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