Bill To:


ALFA INSURANCE
207 Hwy 78 W
Jasper, AL 35501

Services Rendered To:


Marilyn Collins
1214 Indiana Ave
Thorsby, AL 35171
POLICY# R0059421


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

    $500.00
    2.25
    $1,125.00
  2. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  3. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  4. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  5. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    3
    $150.00
  6. 304 SCBA Cylinder (# Used)

    $25.00
    6
    $150.00
  7. 306 Hose Per 50′ (Amt Used)

    $25.00
    4
    $100.00

  8. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 1214 Indiana Ave -Thorsby, AL 35171

Subtotal $1,705.00
Total Due $1,705.00


Updated
July 12, 2023 @ 12:53 pm

Invoice updated by Geoffrey.

Status Update
July 12, 2023 @ 12:53 pm

Status changed: Draft to Pending.