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ROOFING RECEIPT
Licensed & Insured Roofing Contractor
Roofing Services: Summit Ridge Roofing Co. License: #RC-48219 Insured: General Liability & Workers Comp Phone: (608) 555-0197
Bill To: Avery Thompson (Policyholder) Service Address: 7421 Maplecrest Ave Madison, WI 53719 Claim / Case #: CLM-904178
02/14/2026, 14:58
Roof Leak Repair (Valley Reseal + Flashing Adjustment)
245.00
Asphalt Shingles (Architectural, 12 pcs)
96.00
Underlayment & Ice/Water Shield (partial roll)
58.00
Sealants / Fasteners / Misc. Supplies
34.00
Labor (2 techs × 2.5 hrs)
280.00
Debris Removal & Disposal
45.00
Subtotal
758.00
Service Fee (Inspection/Trip)
25.00
Total Paid
783.00
Work Summary: Re-sealed valley area, adjusted flashing, replaced damaged shingles, and applied waterproof underlayment patch. Warranty: Labor - 12 months | Materials - per manufacturer terms Notes: Keep this receipt for insurance reimbursement and warranty claims.
Receipt ID: RRF-20260214-1783
Card number
**** **** **** 1234
Card type
Debit
Status
APPROVED

Roofing Receipt

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