Bill To:


ALLSTATE FIRE AND CASUALTY
2775 SANDERS ROAD
NORTHBROOK, IL 60062-6110

Services Rendered To:


Leah Stalling
55105 S 36700 Rd
terlton, OK 74081
POLICY# 921765634

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-59-007-23-42 04/07/2023 04/11/2023 On Receipt North 48 Fire Department

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

    $350.00
    1.25
    $437.50
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  3. 205 Foam (Per Gallon)

    $65.00
    2
    $130.00
  4. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  5. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    1
    $50.00
  6. 304 SCBA Cylinder (# Used)

    $25.00
    1
    $25.00
  7. 207 Wetting Agent (Amt Used)

    $25.00
    1
    $25.00
  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  9. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 5700 Rd & 3710 Rd- Terlton, OK

Subtotal $1,030.00
Total Due $1,030.00


Updated
April 11, 2023 @ 11:27 pm

Invoice updated by Geoffrey.

Status Update
April 11, 2023 @ 11:27 pm

Status changed: Draft to Pending.