Bill To:


FEDERATED MUTUAL INSURANCE
121 EAST PARK SQUARE
OWATONNA, MN 55060-3046

Services Rendered To:


Glenn Mechanical Co
512 W Hillsboro St
El Dorado, AR 71730
POLICY# 6058752


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

    $500.00
    1.5
    $750.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    1.5
    $600.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.5
    $375.00
  4. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00
  5. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  7. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00
  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Waldo, AR

Subtotal $2,302.00
Total Due $2,302.00


Updated
January 11, 2024 @ 1:10 pm

Invoice updated by Geoffrey.

Status Update
January 11, 2024 @ 1:10 pm

Status changed: Draft to Pending.