Bill To:


Rattler Rock Inc.
110 HCR Loop 1104
Blum, TX 76627

Services Rendered To:


Rattler Rock Inc.
110 HCR Loop 1104
Blum, Texas 76627

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-KP-403-2021-3521 03/25/2021 04/01/2021 On Receipt White Bluff V.F.D.

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

    $300.00
    2.25
    $675.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    2.25
    $675.00
  3. 205 Foam (Per Gallon)

    $65.00
    6
    $390.00
  4. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  6. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 110 HCR Loop 1104 Blum, Texas 76627

Subtotal $2,070.00
Total Due $2,070.00


Updated
March 31, 2021 @ 7:10 pm

Invoice updated by Geoffrey.

Status Update
March 31, 2021 @ 7:10 pm

Status changed: Draft to Pending.

Updated
March 31, 2021 @ 7:11 pm

Invoice updated by Geoffrey.

Viewed
October 24, 2022 @ 12:45 am

Invoice viewed by 64.124.8.53 for the first time.