Bill To:


Columbia Lloyds Insurance Company
2200 West Alabama, Suite 210
Houston, TX 77098

Services Rendered To:


Kim Rowe
2014 CR 2338
Douglassville, TX 75560
Policy # TXP F 375412-21


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

    $350.00
    1.5
    $525.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  3. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00
  4. 302 Hand Light (# Used)

    $5.00
    1
    $5.00
  5. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  6. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    1
    $50.00
  7. 409 Manpower (Per Hour)

    5 Firefighters – 1.5 hours ea.

    $50.00
    7.5
    $375.00

  8. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 1968 CR 2338 - Douglassville, TX

Subtotal $1,680.00
Total Due $1,680.00


Updated
September 5, 2021 @ 4:52 pm

Invoice updated by Geoffrey.

Status Update
September 5, 2021 @ 4:52 pm

Status changed: Draft to Pending.

Updated
September 5, 2021 @ 4:53 pm

Invoice updated by Geoffrey.