Bill To:


Jean Davis
PO Box 4044
Sargent, TX 77404

Services Rendered To:


Jean Davis
PO Box 4044
Sargent, TX 77404


*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

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

    $300.00
    3.75
    $1,125.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    3.75
    $562.50
  3. 104 Tanker Response (Per Hour)

    $300.00
    3.75
    $1,125.00
  4. 102 Engine Response (Per Hour)

    $350.00
    3.75
    $1,312.50
  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  6. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  7. 304 SCBA Cylinder (# Used)

    $25.00
    3
    $75.00
  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00

  9. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 24972 FM 457 - Sargent, Texas

Subtotal $4,465.00
Total Due $4,465.00


Updated
December 29, 2021 @ 5:58 pm

Invoice updated by Geoffrey.

Status Update
December 29, 2021 @ 5:58 pm

Status changed: Draft to Pending.

Updated
June 13, 2022 @ 1:49 am

Invoice updated by Karen Smith.

Updated
June 13, 2022 @ 1:50 am

Invoice updated by Karen Smith.