Bill To:


GERMANIA INSURANCE COMPANY
507 Hwy. 290 E
Brenham, TX 77833

Services Rendered To:


Mica Sullivan
266 Linton
Lufkin, Texas 75901
PH# 936-219-0174


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

    $350.00
    1
    $350.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00
  3. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    1
    $50.00
  4. 304 SCBA Cylinder (# Used)

    $25.00
    1
    $25.00

  5. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 266 Linton Lufkin, Texas 75901

Subtotal $725.00
Total Due $725.00


Updated
February 16, 2022 @ 5:36 pm

Invoice updated by Geoffrey.

Status Update
February 16, 2022 @ 5:36 pm

Status changed: Draft to Pending.