Bill To:


Falcon Insurance Company
P.O. Box 3577
Oak Brook, IL 60522

Services Rendered To:


Lashanda Rines
106 N Callum
Marshall, Texas 75670


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

    $350.00
    1
    $350.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 102 Engine Response (Per Hour)

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

    $300.00
    1
    $300.00
  5. 205 Foam (Per Gallon)

    $65.00
    5
    $325.00
  6. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  7. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  8. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  9. 304 SCBA Cylinder (# Used)

    $25.00
    4
    $100.00
  10. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  11. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  12. 207 Wetting Agent (Amt Used)

    $25.00
    15
    $375.00
  13. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  14. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 4200 FM 2625 W- MARSHALL, TX

Subtotal $2,730.00
Total Due $2,730.00


Updated
October 11, 2022 @ 1:50 pm

Invoice updated by Geoffrey.

Status Update
October 11, 2022 @ 1:50 pm

Status changed: Draft to Pending.

Updated
December 7, 2022 @ 2:45 pm

Invoice updated by Geoffrey.