Bill To:


Property Owner
5130 Gordonville Road
Gordonville, TX 76245

Services Rendered To:


Property Owner
513 Gordonville Road
Gordonville, TX 76245


*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

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

    $350.00
    3.5
    $1,225.00
  2. 105 Utility Vehicle Response (Per Hour)

    Unit – Brush # 104

    $150.00
    3.5
    $525.00
  3. 105 Utility Vehicle Response (Per Hour)

    Unit – Brush # 101

    $150.00
    3.5
    $525.00
  4. 309 Power Tool (# Used)

    $50.00
    2
    $100.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    3.5
    $350.00
  6. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00
  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  9. Additional Incident Info

    Incident Type: Uncontrolled Burn

    Incident Location: 513 Gordonville Road Gordonville, TX 76245

Subtotal $3,015.00
Total Due $3,015.00


Updated
August 9, 2022 @ 5:27 pm

Invoice updated by Geoffrey.

Status Update
August 9, 2022 @ 5:27 pm

Status changed: Draft to Pending.

Updated
September 12, 2022 @ 5:09 pm

Invoice updated by Geoffrey.