Bill To:


Shawn Ripley Jr
16452 Laurel Rd
Eldridge, MO 65463

Services Rendered To:


Shawn Ripley Jr
16452 Laurel Rd
Eldridge, MO 65463


*** Please Submit this to your AUTO 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
    1
    $350.00
  2. 306 Hose Per 50′ (Amt Used)

    $25.00
    5
    $125.00

  3. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 16452 Laurel Rd Eldridge, MO 65463

Subtotal $475.00
Total Due $475.00


Updated
May 8, 2023 @ 11:25 am

Invoice updated by Geoffrey.

Status Update
May 8, 2023 @ 11:25 am

Status changed: Draft to Pending.