Bill To:


AL BAX
30501 Nodaway Dr
Lebanon, MO 65536

Services Rendered To:


AL BAX
30501 Nodaway Dr
Lebanon, MO 65536

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
MO-05-307-23-151 11/24/2023 11/27/2023 On Receipt Eldridge V.F.D.

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00
  2. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  3. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  4. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 30501 Nodaway Dr Lebanon, MO 65536

Subtotal $775.00
Total Due $775.00


Updated
November 27, 2023 @ 8:06 pm

Invoice updated by Geoffrey.

Status Update
November 27, 2023 @ 8:06 pm

Status changed: Draft to Pending.

Updated
November 27, 2023 @ 8:06 pm

Invoice updated by Geoffrey.