Bill To:


Standard Insurance
900 SW 5th Avenue
Portland, OR 97204

Services Rendered To:


Property Owner
120 Private Rd 194
Blum, TX 76627
Attn: Dana Farmer


Product
Price
Qty
Amount
  1. 104 Tanker Response (Per Hour)

    $400.00
    1.25
    $500.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  4. 207 Wetting Agent (Amt Used)

    $25.00
    10
    $250.00
  5. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00

  6. Additional Incident Info

    Incident Type: Uncontrolled Burn

    Incident Location: 120 Private Rd 194 Blum, TX 76627

    Ordinance Info: White Bluff VFD, Hill County, TX Resolution

Subtotal $1,425.00
Total Due $1,425.00


Updated
July 27, 2023 @ 12:36 pm

Invoice updated by Geoffrey.

Status Update
July 27, 2023 @ 12:36 pm

Status changed: Draft to Pending.