Bill To:


Zachery Winborn
1875 Durward St Lot 1
Russellville, AL 35654

Services Rendered To:


Zachery Winborn
1875 Durward St Lot 1
Russellville, AL 35654

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-02-006-23-1 01/01/2023 01/09/2023 On Receipt Littleville VFD

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

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

    $150.00
    1
    $150.00
  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  4. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00
  5. 331 Air Bags (# Used)

    $150.00
    3
    $450.00
  6. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  7. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  8. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  9. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00
  10. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00
  11. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  12. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  13. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00
  14. 408 Air Medical Landing Zone (Used)

    $250.00
    1
    $250.00

  15. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1755 George Wallace Hwy- Tuscumbia, AL

Subtotal $2,633.00
Total Due $2,633.00


Updated
January 9, 2023 @ 10:40 am

Invoice updated by Geoffrey.

Status Update
January 9, 2023 @ 10:40 am

Status changed: Draft to Pending.

Updated
April 20, 2023 @ 5:43 pm

Invoice updated by Geoffrey.

Updated
May 15, 2023 @ 4:19 pm

Invoice updated by Geoffrey.