Bill To:


Property Owner
4628 Chisholm Trail
Weatherford, TX 76087

Services Rendered To:


Property Owner
4628 Chisholm Trail
Weatherford, Texas 76087

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-KS-406-2020-Z20111103 11/11/2020 12/28/2020 On Receipt Hood County V.F.D. # 70

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Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00
  2. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  3. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    3
    $150.00

  4. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 4628 Chisholm Trail Weatherford, Texas 76087

Subtotal $780.00
Total Due $780.00
Updated
December 27, 2020 @ 5:06 pm

Invoice updated by Geoffrey.

Status Update
December 27, 2020 @ 5:06 pm

Status changed: Draft to Pending.

Viewed
October 24, 2022 @ 6:21 am

Invoice viewed by 64.124.8.42 for the first time.