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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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