Bill To:


FOREMOST INSURANCE
PO BOX 2450
GRAND RAPIDS, MI 49501-2450

Services Rendered To:


Roland Lachance
180 Murry Drive
Meeker, OK 74855
Phone# 405-570-3556


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

    $350.00
    8.25
    $2,887.50
  2. 104 Tanker Response (Per Hour)

    $300.00
    8.25
    $2,475.00
  3. 309 Power Tool (# Used)

    $50.00
    2
    $100.00
  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    8.25
    $825.00
  5. 319 Generator (Per Generator/Per Hour)

    $50.00
    8.25
    $412.50
  6. 313 TIC Thermal Imaging Camera (# Used)

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

    $35.00
    2
    $70.00
  8. 301 Hand Tool (# Used)

    $15.00
    7
    $105.00
  9. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    6
    $300.00
  10. 304 SCBA Cylinder (# Used)

    $25.00
    6
    $150.00
  11. 404 Scene Lighting (Per Hour)

    $75.00
    8.25
    $618.75
  12. 306 Hose Per 50′ (Amt Used)

    $25.00
    12
    $300.00

  13. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 338972 E Hwy 62- Meeker, OK

Subtotal $8,343.75
Total Due $8,343.75


Updated
January 18, 2023 @ 12:55 pm

Invoice updated by Geoffrey.

Status Update
January 18, 2023 @ 12:55 pm

Status changed: Draft to Pending.