Bill To:


ALLSTATE FIRE AND CASUALTY
2775 SANDERS ROAD
NORTHBROOK, IL 60062-6110

Services Rendered To:


Theretha Johnson
249 County Road 2350
Marietta, Texas 75566
Policy # 844337686

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-BY-205-2020-1025 10/25/2020 11/02/2020 On Receipt Douglassville V.F.D.

Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00
  3. 302 Hand Light (# Used)

    $5.00
    2
    $10.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  6. 409 Manpower (Per Hour)

    4 Firefighters x 1.5 hours each

    $50.00
    6
    $300.00

  7. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 249 County Road 2350 - Marietta, Texas

Subtotal $1,380.00
Total Due $1,380.00
Updated
November 2, 2020 @ 6:41 pm

Invoice updated by Geoffrey.

Status Update
November 2, 2020 @ 6:41 pm

Status changed: Draft to Pending.

Viewed
October 24, 2022 @ 7:42 am

Invoice viewed by 64.124.8.45 for the first time.

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October 31, 2023 @ 2:50 pm

Invoice viewed by 198.54.213.18 for the first time.