The document is an insurance claim summary for a homeowner named Orona with a date of loss of 04/17/08. It details a roof replacement and other covered repairs costing $9,915.50 total according to invoice from R's Roofing. After applying the deductible of $2,740 and prior payments of $4,945.61, the remaining payment amount is $2,229.89.

1. AAA TEXAS
DEPRECIATION AND SUPPLEMENT
Insured ORONA Date of Loss 04/17/08
Policy No. THO 015615031 CR Mike Hendricks
Claim 6805891 Date Prepared 09/25/08
DESCRIPTION OR ITEM QUANTITY COST PER TOTAL
UNIT
Roof replacement and other covered repairs per invoice R's Roofing $9,915.50
TOTAL $9,915.50
DEDUCTIBLE
$2,740.00
PRIOR
PAYMENTS $4,945.61
PAYMENT
AMOUNT $2,229.89
23-0381 11-99 11501