Bill To:


STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:


Edward Howard
1501 N.E. 61st Street
Lawton, OK 73507
POLICY # 36-CG-S590-0


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

    $350.00
    1.75
    $612.50
  2. 104 Tanker Response (Per Hour)

    $300.00
    1.75
    $525.00
  3. 102 Engine Response (Per Hour)

    $350.00
    1.75
    $612.50
  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.75
    $262.50
  5. 319 Generator (Per Generator/Per Hour)

    $50.00
    1.75
    $87.50
  6. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  7. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  8. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00
  9. 311 PPV / Ventilation Fan (# Used)

    $50.00
    2
    $100.00
  10. 304 SCBA Cylinder (# Used)

    $25.00
    8
    $200.00
  11. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    8
    $400.00
  12. 404 Scene Lighting (Per Hour)

    $75.00
    1.75
    $131.25
  13. 306 Hose Per 50′ (Amt Used)

    $25.00
    14
    $350.00

  14. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 1501 N.E. 61st Street Lawton, OK 73507

Subtotal $3,476.25
Total Due $3,476.25


Updated
July 10, 2022 @ 7:45 pm

Invoice updated by Geoffrey.

Status Update
July 10, 2022 @ 7:45 pm

Status changed: Draft to Pending.